PROVINCE HEALTHCARE CO
10-Q, 2000-05-12
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>   1
                       SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549

                                -----------------

                                    FORM 10-Q

(Mark One)

[X]      QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
         EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 2000

                                       OR

[ ]      TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
         EXCHANGE ACT OF 1934

For the transition period from _______________ to _______________

                         COMMISSION FILE NUMBER 0-23639

                           PROVINCE HEALTHCARE COMPANY
             (Exact Name of Registrant as Specified in Its Charter)

         DELAWARE                                               62-1710772
(State or Other Jurisdiction of                              (I.R.S. Employer
 Incorporation or Organization)                              Identification No.)

         105 WESTWOOD PLACE
         SUITE 400
         BRENTWOOD, TENNESSEE                                   37027
(Address of Principal Executive Offices)                      (Zip Code)


                                  (615)370-1377
              (Registrant's Telephone Number, Including Area Code)

         Indicate by check mark whether the registrant: (1) has filed all
reports required to be filed by Section 13 or 15(d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. Yes [X] No [ ]

         Indicate the number of shares outstanding of each of the issuer's
classes of common stock, as of the latest practicable date.

          CLASS                                   OUTSTANDING AT APRIL 30, 2000
COMMON STOCK, $.01 PAR VALUE                                20,142,762



<PAGE>   2





                                     PART I.
                              FINANCIAL INFORMATION

<TABLE>
<S>                                                                             <C>
ITEM 1. FINANCIAL STATEMENTS (UNAUDITED)

        Condensed Consolidated Balance Sheets
             March 31, 2000 and December 31, 1999.................................1

        Condensed Consolidated Statements of Income
             Three Months Ended March 31, 2000 and 1999...........................2

        Condensed Consolidated Statements of Cash Flows
             Three Months Ended March 31, 2000 and 1999...........................3

        Notes to Condensed Consolidated Financial Statements......................4

ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
             AND RESULTS OF OPERATIONS...........................................10

ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT
             MARKET RISK.........................................................18
</TABLE>


<PAGE>   3



                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

                      CONDENSED CONSOLIDATED BALANCE SHEETS
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                               March 31,  December 31,
                                                                 2000         1999
                                                               --------     --------
                                                             (Unaudited)    (Note 1)
<S>                                                            <C>          <C>
                                     ASSETS

Current assets:
   Cash and cash equivalents                                   $  2,634     $     --
   Accounts receivable, less allowance for doubtful
       accounts of $14,048 at March 31, 2000, and
       $16,494 at December 31, 1999                              91,802       88,866
Inventories                                                      11,253       11,122
Prepaid expenses and other                                        9,653        6,534
                                                               --------     --------
       Total current assets                                     115,342      106,522
Property, plant and equipment, net                              188,947      186,129
Other assets:
   Cost in excess of net assets acquired, net                   192,590      193,904
   Other assets                                                  22,055       15,658
                                                               --------     --------
       Total assets                                            $518,934     $502,213
                                                               ========     ========

                      LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:
   Accounts payable                                            $ 12,552     $ 14,927
   Accrued salaries and benefits                                 16,413       10,790
   Accrued expenses                                              13,014       14,558
   Current maturities of long-term obligations                    2,486        2,223
                                                               --------     --------
       Total current liabilities                                 44,465       42,498
Long-term obligations, less current maturities                  262,560      259,992
Third-party settlements                                           8,031        4,597
Other liabilities                                                10,356        9,997
Minority interest                                                   806          770
                                                               --------     --------
       Total noncurrent liabilities                             281,753      275,356

Stockholders' equity:
   Common stock--$0.01 par value; authorized 25,000,000
       shares; issued and outstanding 15,918,809 and
       15,742,048 shares at March 31, 2000, and
       December 31, 1999, respectively                              159          157
   Additional paid-in-capital                                   166,722      163,593
   Retained earnings                                             25,835       20,609
                                                               --------     --------
       Total stockholders' equity                               192,716      184,359
                                                               --------     --------
       Total liabilities and stockholders' equity              $518,934     $502,213
                                                               ========     ========
</TABLE>


                             See accompanying notes.


                                        1


<PAGE>   4



                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

             CONDENSED CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)
                      (IN THOUSANDS, EXCEPT PER SHARE DATA)

<TABLE>
<CAPTION>
                                               Three Months Ended March 31,
                                               ----------------------------
                                                   2000            1999
                                                 --------         -------
<S>                                              <C>              <C>
Revenue:
   Net patient service revenue                   $103,413         $67,256
   Management and professional services             3,139           3,450
   Reimbursable expenses                            1,711           1,777
   Other                                              839             764
                                                 --------         -------
       Net operating revenue                      109,102          73,247

Expenses:
   Salaries, wages and benefits                    44,206          29,508
   Reimbursable expenses                            1,711           1,777
   Purchased services                              10,492           7,236
   Supplies                                        12,351           8,217
   Provision for doubtful accounts                  8,069           4,676
   Other operating expenses                         9,799           6,145
   Rentals and leases                               1,803           1,683
   Depreciation and amortization                    6,332           4,177
   Interest expense                                 5,212           2,575
   Minority interest                                   36              58
   Loss on sale of assets                               2              --
                                                 --------         -------
       Total expenses                             100,013          66,052
                                                 --------         -------
Income before provision for income taxes            9,089           7,195
Provision for income taxes                          3,863           3,130
                                                 --------         -------
Net income                                       $  5,226         $ 4,065
                                                 ========         =======

Net income per common share:
       Basic                                     $   0.33         $  0.26
                                                 ========         =======
       Diluted                                   $   0.32         $  0.25
                                                 ========         =======
</TABLE>









                             See accompanying notes.



                                        2


<PAGE>   5

                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

           CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                        Three Months Ended March 31,
                                                        ----------------------------
                                                           2000              1999
                                                         --------          --------
<S>                                                      <C>               <C>
NET CASH PROVIDED BY OPERATING ACTIVITIES                $  5,533          $ 13,318

INVESTING ACTIVITIES
Purchase of property, plant and equipment                  (7,265)           (2,254)
Purchase of acquired companies                             (1,549)           (4,920)
Other                                                          --               238
                                                         --------          --------
Net cash used in investing activities                      (8,814)           (6,936)

FINANCING ACTIVITIES
Proceeds from long-term debt                               28,935            21,887
Repayments of debt                                        (26,090)          (18,094)
Issuance of common stock                                    3,070               368
                                                         --------          --------
Net cash provided by financing activities                   5,915             4,161
                                                         --------          --------
Net increase in cash and cash equivalents                   2,634            10,543

Cash and cash equivalents at beginning of period               --             2,113
                                                         --------          --------
Cash and cash equivalents at end of period               $  2,634          $ 12,656
                                                         ========          ========
ACQUISITIONS
   Fair value of assets acquired                         $  2,330          $  5,169
   Liabilities assumed                                       (781)             (249)
                                                         --------          --------
   Cash paid                                             $  1,549          $  4,920
                                                         ========          ========
</TABLE>




                             See accompanying notes.


                                        3


<PAGE>   6
                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                   (UNAUDITED)

                                 MARCH 31, 2000

1.      BASIS OF PRESENTATION

        The accompanying unaudited condensed consolidated financial statements
have been prepared in accordance with generally accepted accounting principles
for interim financial information and with the instructions to Form 10-Q and
Article 10 of Regulation S-X. Accordingly, they do not include all of the
information and footnotes required by generally accepted accounting principles
for complete financial statements. Interim results are not necessarily
indicative of results that may be expected for the full year. In the opinion of
management, the accompanying interim financial statements contain all material
adjustments, consisting only of normal recurring adjustments, necessary to
present fairly the consolidated financial position, results of operations and
cash flows of Province Healthcare Company (the "Company").

        The balance sheet at December 31, 1999, has been derived from the
audited financial statements at that date, but does not include all of the
financial information and footnotes required by generally accepted accounting
principles for complete financial statements.

        For further information, refer to the consolidated financial statements
and footnotes thereto included in the Company's Annual Report on Form 10-K for
the year ended December 31, 1999.

2.      RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS

        In June 1998, SFAS No. 133, Accounting for Derivative Instruments and
Hedging Activities, was issued, and was required to be adopted in years
beginning after June 15, 1999. In June 1999, SFAS No. 137 was issued, deferring
the effective date of SFAS No. 133 for one year. This Statement requires all
derivatives to be recorded on the balance sheet at fair value. This results in
the offsetting changes in fair values or cash flows of both the hedge and the
hedged item being recognized in earnings in the same period. Changes in fair
value of derivatives not meeting the Statement's hedge criteria are included in
income. The Company expects to adopt the new Statement January 1, 2001. The
Company does not expect the adoption of this Statement to have a significant
effect on its results of operations or financial position.


                                        4


<PAGE>   7
                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                             (UNAUDITED)-(CONTINUED)

3.      ACQUISITIONS

EUNICE COMMUNITY MEDICAL CENTER

        In February 1999, the Company entered into a special services agreement
for the lease of Eunice Community Medical Center in Eunice, Louisiana by
purchasing assets totaling $4.9 million and assuming certain liabilities and
entering into a ten-year lease agreement with a five-year renewal option,
totaling $0.8 million. Cost in excess of net assets acquired in the acquisition
totaled approximately $2.9 million and is being amortized over 15 years.

GLADES GENERAL HOSPITAL

        In April 1999, the Company acquired assets totaling $17.2 million and
assumed liabilities totaling $4.9 million of Glades General Hospital in Belle
Glade, Florida. To finance this acquisition, the Company borrowed $13.5 million
under its revolving credit facility. Cost in excess of net assets acquired in
the acquisition totaled approximately $8.9 million and is being amortized over
35 years.

DOCTORS' HOSPITAL OF OPELOUSAS

        In June 1999, the Company acquired assets totaling $25.7 million and
assumed liabilities totaling $2.8 million of Doctors' Hospital of Opelousas, in
Opelousas, Louisiana. To finance this acquisition, the Company borrowed $22.0
million under its revolving credit facility. Cost in excess of net assets
acquired in the acquisition totaled approximately $5.1 million and is being
amortized over 35 years.

TRINITY VALLEY MEDICAL CENTER AND MINDEN MEDICAL CENTER

        In October 1999, the Company acquired assets totaling $82.5 million and
assumed liabilities totaling $4.2 million of Trinity Valley Medical Center in
Palestine, Texas and Minden Medical Center in Minden, Louisiana. To finance this
acquisition, the Company borrowed $77.0 million under its revolving credit
facility. Trinity Valley Medical Center was merged with and into Memorial Mother
Frances Hospital, a hospital already owned by the Company, in Palestine, Texas,
and the name changed to Palestine Regional Medical Center. Cost in excess of net
assets acquired in the acquisition totaled approximately $37.1 million and is
being amortized over 35 years.


                                        5


<PAGE>   8

                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                             (UNAUDITED)-(CONTINUED)

ENNIS REGIONAL HOSPITAL

        In February 2000, the Company acquired, through a long-term lease
agreement, the assets and business of the City of Ennis Hospital. The long-term
lease payments total $3.0 million over a 30-year period, including a rent
prepayment of $2.0 million. To finance this acquisition, the Company borrowed
$2.0 million under its revolving credit facility. The unallocated purchase price
is included in other assets on the balance sheet at March 31, 2000. The hospital
had been closed prior to its acquisition by the Company.

        All of the acquisitions described above were accounted for as purchase
business combinations, and the results of operations of the hospitals have been
included in the results of operations of the Company from the purchase date
forward.

        The following pro forma information reflects the operations of the
entities acquired in 2000 and 1999, as if the respective transactions had
occurred at the beginning of the periods presented (in thousands, except per
share data):

<TABLE>
<CAPTION>
                                                                 Three Months Ended
                                                                       March 31,
                                                             -----------------------------
                                                                 2000              1999
                                                             -----------       -----------
<S>                                                          <C>               <C>
Net operating revenue                                        $   109,102       $   105,806
Net income to common shareholders                                  5,226             8,510

   Basic net income per share to common shareholders                0.33              0.54

   Diluted net income per share to common shareholders              0.32              0.53
</TABLE>

         The pro forma results of operations do not purport to represent what
the Company's results of operations would have been had such transactions, in
fact, occurred at the beginning of the periods presented or to project the
Company's results of operations in any future period.

4.      LONG-TERM OBLIGATIONS

        At March 31, 2000, the Company had $252.3 million outstanding under its
revolving line of credit and $37.4 million available, which includes
availability under the end-loaded lease facility that can be converted to
revolver availability at the Company's option.


                                        6


<PAGE>   9
                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                             (UNAUDITED)-(CONTINUED)

5.      COMPREHENSIVE INCOME

        The Company had no items of other comprehensive income in 2000 or 1999,
and accordingly, comprehensive income is equivalent to net income.

6.      INCOME TAXES

        The income tax provision for the three months ended March 31, 2000 and
1999, differs from the statutory income tax computation due to permanent
differences and the provision for state income taxes. The IRS is currently
engaged in an examination of the predecessor company's federal income tax
returns for 1995 and 1996. Finalization of the examination is not expected to
have a significant effect on the financial condition or results of operations of
the Company.

7.      EARNINGS PER SHARE

        The following table sets forth the computation of basic and diluted
earnings per share (in thousands, except per share data):

<TABLE>
<CAPTION>
                                                 Three Months Ended March 31,
                                                 ----------------------------
                                                    2000            1999
                                                   -------         -------
<S>                                                <C>             <C>
Numerator:
  Net income to common shareholders                $ 5,226         $ 4,065
                                                   =======         =======

Denominator:
  Denominator for basic income per share
      to common shareholders - -
      Weighted-average shares                       15,770          15,709

  Effect of dilutive securities -
      Employee stock options                           562             312
                                                   -------         -------
  Denominator for diluted income per share
      to common shareholders - -
      Adjusted weighted average shares              16,332          16,021
                                                   =======         =======
  Basic net income per share
      to common shareholders                       $  0.33         $  0.26
                                                   =======         =======
  Diluted net income per share
      to common shareholders                       $  0.32         $  0.25
                                                   =======         =======
</TABLE>


                                        7


<PAGE>   10
                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                             (UNAUDITED)-(CONTINUED)

        During the first quarter of 2000, employees exercised options to acquire
155,081 shares of common stock at an average exercise price of $17.53 per share.
Also, during the three-month period ended March 31, 2000, the Company issued
21,680 shares of common stock at a price of $16.15 per share under its Employee
Stock Purchase Plan.

8.      CONTINGENCIES

        Management continually evaluates contingencies based on the best
available evidence and believes that adequate provision for losses has been
provided to the extent necessary. In the opinion of management, the ultimate
resolution of the following contingencies will not have a material effect on the
Company's results of operations or financial position.

GENERAL AND PROFESSIONAL LIABILITY RISKS

        At December 31, 1999, the Company purchased a tail policy in the
commercial insurance market to transfer all risk for its professional liability.

LITIGATION

        The Company is currently, and from time to time is expected to be,
subject to claims and suits arising in the ordinary course of business.

NET PATIENT SERVICE REVENUE

        Final determination of amounts earned under the Medicare and Medicaid
programs often occurs in subsequent periods because of audits by the programs,
rights of appeal and the application of numerous technical provisions.
Differences between original estimates and subsequent revisions (including
settlements) are included in the statement of income in the period in which
revisions are made, and resulted in minimal adjustments for the three-month
period ended March 31, 2000, and increases in net patient service revenue of
$0.9 million, or 1.3% of net patient revenue, for the three-month period ended
March 31, 1999.


                                        8


<PAGE>   11
                  PROVINCE HEALTHCARE COMPANY AND SUBSIDIARIES

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                             (UNAUDITED)-(CONTINUED)

FINANCIAL INSTRUMENTS

        Interest rate swap agreements are used to manage the Company's interest
rate exposure under the Credit Agreement. In 1997, the Company entered into an
interest rate swap agreement, which effectively converted for a five-year period
$35.0 million of floating-rate borrowings to fixed-rate borrowings. In 1998, the
Company entered into an interest rate swap agreement, which effectively
converted for a five-year period $45.0 million of floating-rate borrowings to
fixed-rate borrowings. The Company secured a 6.27% fixed interest rate on the
1997 swap agreement, and a 5.625% fixed interest rate on the 1998 swap
agreement. These agreements expose the Company to credit losses in the event of
non-performance by the counterparties to its financial instruments. The Company
anticipates that the counterparties will fully satisfy their obligations under
the contracts.

9.      SUBSEQUENT EVENTS

        In April, 2000, the Company completed its public offering of 4,222,504
shares of common stock. Net proceeds from the offering were approximately $95.2
million, which were used to reduce existing bank debt.

        In April, 2000, the Company acquired, through a long-term lease
agreement, the assets and business of the 200-bed Bolivar Medical Center in
Cleveland, Mississippi, from Bolivar County. To finance the prepaid lease
payment of $25.8 million, the Company borrowed $24.6 million under its revolving
credit facility.


                                        9


<PAGE>   12



ITEM 2.        MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
               CONDITION AND RESULTS OF OPERATIONS

        You should read the following along with the Condensed Consolidated
Financial Statements and accompanying notes.

OVERVIEW

        We are a healthcare services company focused on acquiring and operating
hospitals in attractive non-urban markets in the United States. As of March 31,
2000, we owned and operated 15 general acute care hospitals in eight states with
a total of 1,327 licensed beds, and managed 48 hospitals in 19 states and Puerto
Rico, with a total of 3,602 licensed beds. In addition, in April 2000, we
entered into a long-term lease agreement to acquire the assets and business of
Bolivar Medical Center, a 200-bed facility located in Bolivar, Mississippi.

        Our owned and leased hospitals accounted for 95.5% and 92.9% of our net
operating revenue in the three months ended March 31, 2000 and 1999,
respectively.

IMPACT OF ACQUISITIONS

1999 Acquisitions

      In February 1999, we entered into a special services agreement for the
lease of Eunice Community Medical Center in Eunice, Louisiana, by purchasing
assets totaling $4.9 million and assuming certain liabilities and entering into
a ten-year lease agreement, with a five-year renewal option, totaling $0.8
million. We are obligated under the lease to construct a replacement facility
(currently estimated to cost approximately $20.0 million) at such time as the
net patient service revenue of the hospital reaches a pre-determined level. The
lease will terminate at the time the replacement facility commences operations.

      In April 1999, we acquired assets totaling $17.2 million and assumed
liabilities totaling $4.9 million of Glades General Hospital in Belle Glade,
Florida. To finance this acquisition, we borrowed $13.5 million under our
revolving credit facility. We are obligated under the Asset Purchase Agreement
to build a replacement hospital following the fifth year after the closing, at a
cost of not less than $25.0 million, contingent upon the hospital meeting
certain financial targets following the closing.

      In June 1999, we acquired assets totaling $25.7 million and assumed
certain liabilities totaling $2.8 million of Doctors' Hospital of Opelousas in
Opelousas, Louisiana. To finance this acquisition, we borrowed $22.0 million
under our revolving credit facility.

      In October 1999, we acquired assets totaling $82.5 million and assumed
liabilities totaling $4.2 million of Trinity Valley Medical Center in Palestine,
Texas and Minden Medical Center in Minden, Louisiana. To finance the
acquisition, we borrowed $77.0 million under our revolving


                                       10


<PAGE>   13



credit facility. Following the acquisition, we merged Trinity Valley Medical
Center into Memorial Mother Frances Hospital, a hospital that we already owned
in Palestine, Texas, and changed the name of the hospital to Palestine Regional
Medical Center.

2000 Acquisitions

      In February 2000, we acquired, through a long-term lease agreement, the
assets and business of the 45-bed City of Ennis Hospital from the City of Ennis,
Texas. The long-term lease totals $3.0 million over a 30-year period, including
a prepayment of $2.0 million. To finance the lease payment, we borrowed $2.0
million under our revolving credit facility.

      All of the acquisitions described above were accounted for as purchase
business combinations, and the results of operations of the hospitals have been
included in our results of operations from the purchase dates forward. The March
31, 2000 results include three months of operations for Eunice Community Medical
Center, Glades General Hospital, and Doctors' Hospital of Opelousas, and one and
one-half months of operations for City of Ennis Hospital. The March 31, 1999
results include one month and six days of operations for Eunice Community
Medical Center. These acquisitions are collectively referred to in this
discussion as "the Acquisitions."

      In April 2000, we acquired, through a long-term lease agreement, the
assets and business of the 200-bed Bolivar Medical Center in Cleveland,
Mississippi, from Bolivar County. To finance the prepaid lease payment of $25.8
million, we borrowed $24.6 million under our revolving credit facility.

      Due to the relatively small number of owned and leased hospitals, each
hospital acquisition can materially affect our overall operating margin. Upon
the acquisition of a hospital, we typically take a number of steps to lower
operating costs. The impact of such actions may be offset by other cost
increases to expand services, strengthen medical staff and improve market
position. The benefits of these investments and of other activities to improve
operating margins generally do not occur immediately. Consequently, the
financial performance of a newly acquired hospital may adversely affect overall
operating margins in the short term. As we make additional hospital
acquisitions, we expect that this effect will be mitigated by the expanded
financial base of existing hospitals and the allocation of corporate overhead
among a larger number of hospitals.

RESULTS OF OPERATIONS

      The following table presents, for the periods indicated, information
expressed as a percentage of net operating revenue. Such information has been
derived from our Condensed Consolidated Statements of Income included elsewhere
in this report. The results of operations for the periods presented include
hospitals from their acquisition dates, as discussed above.


                                       11


<PAGE>   14

<TABLE>
<CAPTION>
                                                                        Percentage
                                                                   Increase (Decrease)
                                     Three Months Ended March 31,   of Dollar Amounts
                                     ----------------------------   -----------------
                                         2000            1999
                                        ------          ------
<S>                                     <C>             <C>         <C>
Net operating revenue                    100.0%          100.0%            49.0%
Operating expenses (1)                    81.1            80.9             49.3
                                        ------          ------
EBITDA (2)                                18.9            19.1             47.6
Depreciation and amortization              5.8             5.7             51.6
Interest                                   4.8             3.5            102.4

Minority interest                          0.0             0.1            (37.9)
Loss on sale of assets                     0.0             0.0              0.0
                                        ------          ------
Income before income taxes                 8.3             9.8             25.8
Provision for income taxes                 3.5             4.3             23.4
                                        ------          ------
Net income                                 4.8%            5.5%            28.6%
                                        ======          ======
</TABLE>

(1)     Operating expenses represent expenses before interest, minority
        interest, loss on sale of assets, income taxes, depreciation and
        amortization expense.

(2)     EBITDA represents the sum of income before income taxes, interest,
        minority interest, depreciation and amortization, and loss on sale of
        assets. We understand that industry analysts generally consider EBITDA
        to be one measure of the financial performance of a company that is
        presented to assist investors in analyzing the operating performance of
        the Company and its ability to service debt. We believe that an increase
        in EBITDA level is an indicator of our improved ability to service
        existing debt, to sustain potential future increases in debt and to
        satisfy capital requirements. However, EBITDA is not a measure of
        financial performance under generally accepted accounting principles and
        should not be considered an alternative to net income as a measure of
        operating performance or to cash flows from operating, investing, or
        financing activities as a measure of liquidity. Given that EBITDA is not
        a measurement determined in accordance with generally accepted
        accounting principles and is thus susceptible to varying calculations,
        EBITDA, as presented, may not be comparable to other similarly titled
        measures of other companies.

SELECTED OPERATING STATISTICS - OWNED OR LEASED HOSPITALS

        The following table sets forth certain operating statistics for our
company's owned or leased hospitals for each of the periods presented.


                                       12


<PAGE>   15
                                                    Three Months Ended
                                                          March 31,
                                               ------------------------------
                                                   2000              1999
                                               ------------       -----------
       CONSOLIDATED HOSPITALS:
       Number of hospitals end of period                 15                11
       Licensed beds end of period                    1,327               802
       Beds in service end of period                  1,231               732
       Inpatient admissions                          10,949             7,099
       Patient days                                  51,559            36,266
       Adjusted patient days                         87,881            61,049
       Average length of stay (days)                    4.7               5.1
       Occupancy rates (licensed beds)                 42.7%             50.2%
       Occupancy rates (beds in service)               46.0%             55.0%

       Gross inpatient revenue                 $127,213,506       $75,239,271
       Gross outpatient revenue                  89,617,715        51,432,780

THREE MONTHS ENDED MARCH 31, 2000 COMPARED TO THREE MONTHS ENDED MARCH 31, 1999

       Net operating revenue was $109.1 million for the three months ended March
31, 2000, compared to $73.2 million for the comparable period of 1999, an
increase of $35.9 million or 49.0%. Cost report settlements and the filing of
cost reports resulted in minimal revenue adjustments for the three months ended
March 31, 2000, and an increase in revenue of $0.9 million (1.3% of net patient
service revenue) for the three-month period ended March 31, 1999. Net patient
revenue generated by hospitals owned during both periods increased $13.8
million, or 21.1%, resulting from market expansion, inpatient and outpatient
volume increases, new services and price increases. The remaining increase was
primarily attributable to the Acquisitions.

       Operating expenses were $88.4 million, or 81.1% of net operating revenue,
for the three months ended March 31, 2000, compared to $59.2 million, or 80.9%
of net operating revenue, for the comparable period of 1999. The provision for
doubtful accounts increased to 7.4% of net revenue in 2000 from 6.4% of net
revenue in 1999, primarily as a result of the Acquisitions. The majority of the
increase in operating expenses was attributable to the Acquisitions. Operating
expenses of hospitals owned during both periods decreased to 73.2% of net
operating revenue for the three months ended March 31, 2000, compared to 75.7%
for the comparable period of 1999.

       EBITDA was $20.7 million or 18.9% of net operating revenue for the three
months ended March 31, 2000, compared to $14.0 million, or 19.1% of net
operating revenue, for the comparable period of 1999, primarily as a result of
the Acquisitions.

        Depreciation and amortization expense was $6.3 million, or 5.8% of net
operating revenue, for the three months ended March 31, 2000, compared to $4.2
million, or 5.7% of net operating revenue for the comparable period of 1999. The
increase in depreciation and amortization resulted primarily from the
Acquisitions. Interest expense as a percent of net operating revenue increased
to 4.8% for


                                       13


<PAGE>   16



the three months ended March 31, 2000, from 3.5% for the comparable period of
1999, as a result of the Acquisitions.

        Income before provision for income taxes was $9.1 million for the three
months ended March 31, 2000, compared to $7.2 million for the comparable period
of 1999, an increase of $1.9 million or 26.4%.

        Our provision for income taxes was $3.9 million for the three months
ended March 31, 2000, compared to $3.1 million for the comparable period of
1999. These provisions reflect effective income tax rates of 42.5% for the 2000
period, compared to 43.5% for the 1999 period. As a result of the foregoing, our
net income was $5.2 million, or 4.8% of net operating revenue, for the three
months ended March 31, 2000, compared to $4.1 million, or 5.5% of net operating
revenue for the comparable period of 1999.

LIQUIDITY AND CAPITAL RESOURCES

        At March 31, 2000, we had working capital of $70.9 million, including
cash and cash equivalents of $2.6 million. The ratio of current assets to
current liabilities was 2.6 to 1.0 at March 31, 2000, and 2.5 to 1.0 at December
31, 1999.

        Total long-term obligations increased to $262.6 million at March 31,
2000, from $260.0 million at December 31, 1999. The increase resulted primarily
from borrowings, under our revolving credit facility, to finance the City of
Ennis Hospital acquisition.

        Cash provided by operations was $5.5 million for the three months ended
March 31, 2000. Cash used in investing activities was $8.8 million for the three
months ended March 31, 2000, relating primarily to acquisitions and capital
expenditures. Net cash provided by financing activities was $5.9 million for the
three months ended March 31, 2000, primarily as a result of net borrowings on
the revolving line of credit to finance acquisitions, and issuance of common
stock through exercise of stock options and through the Employee Stock Purchase
Plan.

        We intend to acquire additional acute care facilities, and are actively
seeking out such acquisitions. There can be no assurance that we will not
require additional debt or equity financing for any particular acquisition.
Also, we continually review our capital needs and financing opportunities and
may seek additional equity or debt financing for our acquisition program or
other needs.

        Capital expenditures, excluding acquisitions, for the three months ended
March 31, 2000 and 1999, were $7.3 million and $2.3 million, respectively.
Capital expenditures for the owned hospitals may vary from year to year
depending on facility improvements and service enhancements undertaken by the
hospitals. We expect to make total capital expenditures in 2000 of approximately
$24.3 million, exclusive of any acquisitions of businesses or construction
projects. Planned capital expenditures for 2000 consist principally of capital
improvements to owned and leased hospitals. We expect to fund these expenditures
through cash provided by operating activities and borrowings under our revolving
credit facility.


                                       14


<PAGE>   17



        In April 2000, we completed our public offering of 4,222,504 shares of
common stock. Net proceeds from the offering were approximately $95.2 million,
which were used to reduce existing bank debt.

IMPACT OF YEAR 2000

        In late 1999, we completed our remediation and testing of systems to
become Year 2000 ready. As a result of those planning and implementation
efforts, we experienced no disruptions in mission critical information
technology and non-information technology systems and believe those systems
successfully responded to the Year 2000 date change. We are not aware of any
material problems resulting from Year 2000 issues, either with our services, our
internal systems, or the products and services of third parties. We will
continue to monitor our mission critical computer applications and those of our
suppliers and vendors throughout the year 2000 to ensure that any latent Year
2000 matters that may arise are addressed promptly.

GENERAL

        The federal Medicare program accounted for approximately 60.5% and 61.8%
of hospital patient days for the three months ended March 31, 2000 and 1999,
respectively. The state Medicaid programs accounted for approximately 13.7% and
9.1% of hospital patient days for the three months ended March 31, 2000 and
1999, respectively. The payment rates under the Medicare program for inpatients
are prospective, based upon the diagnosis of a patient. The Medicare payment
rate increases historically have been less than actual inflation.

       Both federal and state legislators are continuing to scrutinize the
health care industry for the purpose of reducing health care costs. While we are
unable to predict what, if any, future health reform legislation may be enacted
at the federal or state level, we expect continuing pressure to limit
expenditures by governmental health care programs. The Balanced Budget Act of
1997 imposed certain limitations on increases in the inpatient Medicare rates
paid to acute care hospitals. Payments for Medicare outpatient services provided
at acute care hospitals and home health services historically have been paid
based on costs, subject to certain limits. The Balanced Budget Act of 1997
requires that the payment for those services be converted to a prospective
payment system, which will be phased in over time. The Balanced Budget Act of
1997 also includes a managed care option that could direct Medicare patients to
managed care organizations. Further changes in the Medicare or Medicaid programs
and other proposals to limit health care spending could have a material adverse
impact upon the health care industry and our company.

       Some of our acute care hospitals, like most acute care hospitals in the
United States, have significant unused capacity. The result is substantial
competition for patients and physicians. Inpatient utilization continues to be
affected negatively by payor-required pre-admission authorization and by payor
pressure to maximize outpatient and alternative health care delivery services
for less acutely ill patients. We expect increased competition and admission
constraints to continue in the future. The ability to respond successfully to
these trends, as well as spending reductions in governmental health care
programs, will play a significant role in determining the ability of our
hospitals to maintain their current rate of net revenue growth and operating
margins.


                                       15


<PAGE>   18





       We expect the industry trend in increased outpatient services to continue
because of the increased focus on managed care and advances in technology.
Outpatient revenue of our owned or leased hospitals was approximately 41.3% and
40.6% of gross patient service revenue for the three months ended March 31, 2000
and 1999, respectively.

       The billing and collection of accounts receivable by hospitals are
complicated by:

       -      the complexity of the Medicare and Medicaid regulations;

       -      increases in managed care;

       -      hospital personnel turnover;

       -      the dependence of hospitals on physician documentation of medical
              records; and

       -      the subjective judgment involved.

       There can be no assurance that this complexity will not negatively impact
our future cash flows or results of operations.

       The federal government and a number of states are rapidly increasing the
resources devoted to investigating allegations of fraud and abuse in the
Medicare and Medicaid programs. At the same time, regulatory and law enforcement
authorities are taking an increasingly strict view of the requirements imposed
on providers by the Social Security Act and Medicare and Medicaid regulations.
Although we believe that we are in material compliance with such laws, a
determination that we have violated such laws, or even the public announcement
that we were being investigated concerning possible violations, could have a
material adverse effect on our company.

       Our historical financial trend has been impacted favorably by our success
in acquiring acute care hospitals. While we believe that trends in the health
care industry described above may create possible future acquisition
opportunities, there can be no assurances that we can continue to maintain our
current growth rate through hospital acquisitions and successfully integrate the
hospitals into our system.

       The preparation of financial statements in conformity with generally
accepted accounting principles requires us to make estimates and assumptions
that affect the amounts reported in our financial statements. Resolution of
matters, for example, final settlements with third party payors, may result in
changes from those estimates. The timing and amount of such changes in estimates
may cause fluctuations in our quarterly or annual operating results.


                                       16


<PAGE>   19



FORWARD-LOOKING STATEMENTS

       This report and other materials we have filed or may file with the
Securities and Exchange Commission, as well as information included in oral
statements or other written statements made, or to be made, by us, contain, or
will contain, disclosures which are "forward-looking statements."
Forward-looking statements include all statements that do not relate solely to
historical or current facts, and can be identified by the use of words such as
"may," "believe," "will," "expect," "project," "estimate," "anticipate," "plan"
or "continue." These forward-looking statements address, among other things, our
strategic objectives. These forward-looking statements are based on the current
plans and expectations of our management and are subject to a number of
uncertainties and risks that could significantly affect our current plans and
expectations and future financial condition and results. These factors include,
but are not limited to:

       -      the highly competitive nature of the healthcare business;

       -      the efforts of insurers, healthcare providers and others to
              contain healthcare costs;

       -      possible changes in the Medicare program that may further limit
              reimbursements to healthcare providers and insurers;

       -      changes in federal, state or local regulation affecting the
              healthcare industry;

       -      the possible enactment of federal or state healthcare reform;

       -      the departure of key members of our management;

       -      claims and legal actions relating to professional liability;

       -      our ability to implement successfully our acquisition and
              development strategy;

       -      potential federal or state investigations;

       -      fluctuations in the market value of our common stock;

       -      changes in accounting practices;

       -      changes in general economic conditions; and

       -      other risks described in this report.

       As a consequence, current plans, anticipated actions and future financial
conditions and results may differ from those expressed in any forward-looking
statements made by or on behalf of our company. We undertake no obligation to
publicly update or revise any forward-looking statements, whether as a result of
new information, future events or otherwise. You are cautioned not to unduly
rely on such forward-looking statements when evaluating the information
presented herein.


                                       17


<PAGE>   20




ITEM 3.       QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET
              RISK

       During the three months ended March 31, 2000, there were no material
changes in the quantitative and qualitative disclosures about market risks
presented in our Annual Report on Form 10-K for the year ended December 31,
1999.


                                       18


<PAGE>   21



                                     PART II
                                OTHER INFORMATION

ITEM 5.       OTHER INFORMATION

       The deadline for delivering your notice of shareholder proposal, other
than proposal to be included in the proxy statement for the 2001 Annual Meeting
of Shareholders, will be March 2, 2001, pursuant to Rule 14a-4 under the
Securities Exchange Act of 1934. The persons named as proxies in the proxy
statement may exercise discretionary voting authority with respect to any matter
that is not submitted to us by such date.

ITEM 6.       EXHIBITS AND REPORTS ON FORM 8-K.

(a)    Exhibits

       Exhibit
       Number     Description of Exhibits

         3.1      Amended and Restated Certificate of Incorporation of Province
                  Healthcare Company (a)

         3.2      Amended and Restated Bylaws of Province Healthcare Company (a)

         10.1     Executive Severance Agreement by and between Province
                  Healthcare Company and Martin S. Rash, dated October 18, 1999

         10.2     Executive Severance Agreement by and between Province
                  Healthcare Company and James Thomas Anderson, dated October
                  18,1999

         10.3     Executive Severance agreement by and between Province
                  Healthcare Company and John M. Rutledge, dated October 18,
                  1999

         10.4     Executive Severance Agreement by and between Province
                  Healthcare Company and Howard T. Wall III, dated October 18,
                  1999

         27.1     Financial Data Schedule (for SEC use only)

       -------------------------

         (a)      Incorporated by reference to the Exhibits filed with the
                  Registrant's Registration Statement on Form S-1, Registration
                  No. 333-34421


                                       19


<PAGE>   22




(b)    Reports on Form 8-K

       During the three months ended March 31, 2000, the Company filed a Form
8-K, dated March 2, 2000, relating to the Company's agreement to lease from the
City of Ennis, Texas the City of Ennis Hospital located in Ennis, Texas.


                                       20


<PAGE>   23



                                   SIGNATURES

       Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.


                                    PROVINCE HEALTHCARE COMPANY



       Date: May 12, 2000               By: /s/ Brenda B. Rector
            ---------------             ----------------------------------------
                                        Brenda B. Rector
                                        Vice President and Controller



                                       21


<PAGE>   24


                                 EXHIBIT INDEX

       Exhibit
       Number     Description of Exhibits
       -------    -----------------------

         3.1      Amended and Restated Certificate of Incorporation of Province
                  Healthcare Company (a)

         3.2      Amended and Restated Bylaws of Province Healthcare Company (a)

         10.1     Executive Severance Agreement by and between Province
                  Healthcare Company and Martin S. Rash, dated October 18, 1999

         10.2     Executive Severance Agreement by and between Province
                  Healthcare Company and James Thomas Anderson, dated October
                  18,1999

         10.3     Executive Severance agreement by and between Province
                  Healthcare Company and John M. Rutledge, dated October 18,
                  1999

         10.4     Executive Severance Agreement by and between Province
                  Healthcare Company and Howard T. Wall III, dated October 18,
                  1999

         27.1     Financial Data Schedule (for SEC use only)

       -------------------------

         (a)      Incorporated by reference to the Exhibits filed with the
                  Registrant's Registration Statement on Form S-1, Registration
                  No. 333-34421





<PAGE>   1

                                                                    EXHIBIT 10.1

                           PROVINCE HEALTHCARE COMPANY
                          EXECUTIVE SEVERANCE AGREEMENT

         THIS EXECUTIVE SEVERANCE AGREEMENT ("Agreement") is entered into as of
this 18th day of October, 1999, by and between Province Healthcare Company (the
"Company") and MARTIN S. RASH ("Employee").

                              W I T N E S S E T H:

         WHEREAS, Employee is employed as Chairman, President & Chief Executive
Officer of the Company; and

         WHEREAS, the Company desires to provide certain severance payments to
Employee in the event that Employee's employment with the Company is terminated
without cause or in connection with a change in control of the Company;

         NOW, THEREFORE, based upon the premises set forth herein and for other
good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties agree as follows:

                             ARTICLE I. DEFINITIONS

         Terms used in this Agreement that are defined are indicated by initial
capitalization of the term. References to an "Article" or a "Section" mean an
article or a section of this Agreement. In addition to those terms that are
specifically defined herein, the following terms are defined for purposes
hereof:

         "Administrator" means a committee consisting of the Company's chief
executive officer, the secretary of the Company, the vice president of human
resources, and any other individuals appointed by the chief executive officer.
The Administrator may delegate any of its duties or authorities to any person or
entity. If a Change in Control occurs, as described in this Agreement, the
Administrator shall be the committee of individuals who were committee members
immediately prior to the Change in Control.

         "Benefit" means the benefits described in Article II and Article III.

         "Change in Control" means a transaction or circumstance in which any of
the following have occurred:

         (a) any "person" as such term is used in sections 13(d) and 14(d) of
the Exchange Act, other than the Company or a wholly-owned Subsidiary thereof or
any employee benefit plan of the Company, becomes the "beneficial owner" (as
defined in Rule 13d-3 under said Act), directly



<PAGE>   2

or indirectly, of securities of the Company representing more than 50% of the
total voting power represented by the Company's then outstanding Voting
Securities (as defined below), or

         (b) during any period of two consecutive years, individuals who at the
beginning of such period constitute the Board and any new director whose
election by the Board or nomination for election by the Company's shareholders
was approved by a vote of at least two-thirds of the directors then still in
office who either were directors at the beginning of the period or whose
election or nomination for election was previously so approved, cease for any
reason to constitute a majority thereof, or

         (c) the shareholders of the Company approve a merger or consolidation
of the Company with any other corporation, other than a merger or consolidation
which would result in the Voting Securities (i.e., any securities of the entity
which vote generally in the election of its directors) of the Company
outstanding immediately prior thereto continuing to represent (either by
remaining outstanding or by being converted into Voting Securities of the
surviving entity) more than 50% of the total voting power represented by the
Voting Securities of the Company or such surviving entity outstanding
immediately after such merger or consolidation, or

         (d) the shareholders of the Company approve a plan of complete
liquidation of the Company or an agreement for the sale or disposition by the
Company of all or substantially all of its assets.

         "Code" means the Internal Revenue Code of 1986, as amended.

         "ERISA" means the Employee Retirement Income Security Act of 1974, as
amended.

         "Subsidiary" means any subsidiary of the Company or of any of its
subsidiaries.

                ARTICLE II. CHANGE IN CONTROL TERMINATION PAYMENT

SECTION 2.1 BENEFITS ON TERMINATION.

         (a) Amount. Subject to the conditions, limitations and adjustments that
are provided for herein, the Company will provide Benefits to Employee equal to
the sum of the amounts described below if, within the 24 month period following
a Change in Control, Employee's employment with the Company terminates for any
reason:

         (1)      An amount equal to 200% of the Employee's annual base
                  compensation determined by reference to his base salary in
                  effect at the time of Change in Control.

         (2)      An amount equal to 200% of the highest annual bonus that
                  Employee would be eligible to receive during the fiscal year
                  ending during which the Change in Control occurs.



                                       2
<PAGE>   3

         (3)      For a period of 24 months, participation in medical, life,
                  disability and similar benefit plans that are offered to
                  similarly situated employees of the Company immediately prior
                  to the applicable Change in Control for the Eligible Employee
                  and his dependents. Such participation may be pursuant to the
                  continuation coverage rights of Eligible Employees pursuant to
                  Part 6 of Title I of ERISA ("COBRA") or the Company may
                  provide such benefits directly through the purchase of
                  insurance or otherwise. Notwithstanding the foregoing, the
                  period for participation in a self-funded medical plan
                  pursuant to this paragraph 3 shall not exceed the maximum
                  period of continuation coverage provided under COBRA. If
                  benefits are provided pursuant to COBRA continuation rights,
                  the Company shall pay a cash amount to the Eligible Employee
                  at the time of severance that is sufficient to cover all
                  premiums required for such COBRA coverage under the
                  appropriate benefit plans.

         (4)      For a period of 24 months, participation in general and
                  executive fringe benefits offered to similarly situated
                  executive employees immediately prior to the applicable Change
                  in Control.

         (5)      Upon the effective date of any Change in Control, any stock
                  purchase options held by Employee pursuant to any qualified or
                  nonqualified Company option plan shall immediately vest and
                  become exercisable. The provisions of this Section 2.1 shall
                  supersede any contrary provisions of any other agreement by
                  and between the parties hereto, now existing or hereafter
                  created, unless the provisions of this Section 2.1 shall be
                  referred to specifically therein and modified, amended or
                  waived by both parties hereto.

         (b) Adjustments to the Amount of Benefit. Notwithstanding anything
herein to the contrary, the amounts due to Employee under Section 2.1(a) shall
be adjusted in accordance with Section 2.2 if any payment provided to Employee
is determined to be subject to the excise tax described in section 4999 of the
Code.

         (c) Time for Payment; Interest. The cash Benefits payable made under
this Section 2.1 shall be paid to Employee in a single lump sum within ten days
following the date of termination. The Company's obligation to pay to Employee
any amounts under this Section 2.1 will bear interest at the lesser of (i) 10%
or (ii) the maximum rate allowed by law until paid by the Company, and all
accrued and unpaid interest will bear interest at the same rate, all of which
interest will be compounded annually.

2.2      BENEFIT ADJUSTMENTS.

         (a) Gross Up Payment. Anything in this Agreement to the contrary
notwithstanding, in the event it shall be determined that any payment or
distribution by or on behalf of the Company to or for the benefit of Employee as
a result of a "change in control," as defined in section 280G of the



                                       3
<PAGE>   4

Code, whether paid or payable or distributed or distributable pursuant to the
terms of this Agreement or otherwise, but determined without regard to any
additional payments required under this Section, (a "Payment") would be subject
to the excise tax imposed by section 4999 of the Code or any interest or
penalties are incurred by Employee with respect to such excise tax (such excise
tax, together with any such interest and penalties, are hereinafter collectively
referred to as the "Excise Tax"), then Employee shall be entitled to receive an
additional payment (a "Gross-Up Payment") in an amount such that after payment
by Employee of all taxes (including any interest or penalties imposed with
respect to such taxes), including, without limitation, any income taxes (and any
interest and penalties imposed with respect thereto) and Excise Tax imposed upon
the Gross-Up Payment, Employee retains an amount of the Gross-Up Payment equal
to the Excise Tax imposed upon the Payments.

         (b) Tax Opinion. Subject to the provisions of Section 2.2(c), all
determinations required to be made under this Section 2.2, including whether and
when a Gross-Up Payment is required and the amount of such Gross-Up Payment and
the assumptions to be utilized in arriving at such determination, shall be made
by a nationally recognized accounting firm or law firm selected by the Company
(the "Tax Firm"); provided, however, that the Tax Firm shall not determine that
no Excise Tax is payable by Employee unless it delivers to Employee a written
opinion (the "Tax Opinion") that failure to pay the Excise Tax and to report the
Excise Tax and the payments potentially subject thereto on or with Employee's
applicable federal income tax return will not result in the imposition of an
accuracy-related or other penalty on Employee. All fees and expenses of the Tax
Firm shall be borne solely by the Company. Within 15 business days of the
receipt of notice from Employee that there has been a Payment, or such earlier
time as is requested by the Company, the Tax Firm shall make all determinations
required under this Section, shall provide to the Company and Employee a written
report setting forth such determinations, together with detailed supporting
calculations, and, if the Tax Firm determines that no Excise Tax is payable,
shall deliver the Tax Opinion to Employee. Any Gross-Up Payment, as determined
pursuant to this Section, shall be paid by the Company to Employee within
fifteen days of the receipt of the Tax Firm's determination. Subject to the
remainder of this Section 2.2, any determination by the Tax Firm shall be
binding upon the Company and Employee; provided, however, that Employee shall
only be bound to the extent that the determinations of the Tax Firm hereunder,
including the determinations made in the Tax Opinion, are reasonable and
reasonably supported by applicable law. As a result of the uncertainty in the
application of section 4999 of the Code at the time of the initial determination
by the Tax Firm hereunder, it is possible that Gross-Up Payments which will not
have been made by the Company should have been made ("Underpayment"), consistent
with the calculations required to be made hereunder. In the event that it is
ultimately determined in accordance with the procedures set forth in Section
2.2(c) that Employee is required to make a payment of any Excise Tax, the Tax
Firm shall reasonably determine the amount of the Underpayment that has occurred
and any such Underpayment shall be promptly paid by the Company to or for the
benefit of Employee. In determining the reasonableness of Tax Firm's
determinations hereunder, and the effect thereof, Employee shall be provided a
reasonable opportunity to review such determinations with Tax Firm and
Employee's tax counsel. Tax Firm's determinations hereunder, and the Tax
Opinion, shall not be deemed



                                       4
<PAGE>   5

reasonable until Employee's reasonable objections and comments thereto have been
satisfactorily accommodated by Tax Firm.

         (c) Notice of IRS Claim. Employee shall notify the Company in writing
of any claims by the Internal Revenue Service that, if successful, would require
the payment by the Company of the Gross-Up Payment. Such notification shall be
given as soon as practicable but no later than 30 calendar days after Employee
actually receives notice in writing of such claim and shall apprise the Company
of the nature of such claim and the date on which such claim is requested to be
paid; provided, however, that the failure of Employee to notify the Company of
such claim (or to provide any required information with respect thereto) shall
not affect any rights granted to Employee under this Section 2.2 except to the
extent that the Company is materially prejudiced in the defense of such claim as
a direct result of such failure. Employee shall not pay such claim prior to the
expiration of the 30-day period following the date on which he gives such notice
to the Company (or such shorter period ending on the date that any payment of
taxes with respect to such claim is due). If the Company notifies Employee in
writing prior to the expiration of such period that it desires to contest such
claim, Employee shall do all of the following:

         (1)      give the Company any information reasonably requested by the
                  Company relating to such claim;

         (2)      take such action in connection with contesting such claim as
                  the Company shall reasonably request in writing from time to
                  time, including, without limitation, accepting legal
                  representation with respect to such claim by an attorney
                  selected by the Company and reasonably acceptable to Employee;

         (3)      cooperate with the Company in good faith in order effectively
                  to contest such claim;

         (4)      if the Company elects not to assume and control the defense of
                  such claim, permit the Company to participate in any
                  proceedings relating to such claim;

provided, however, that the Company shall bear and pay directly all costs and
expenses (including additional interest and penalties) incurred in connection
with such contest and shall indemnify and hold Employee harmless, on an
after-tax basis, for any Excise Tax or income tax (including interest and
penalties with respect thereto) imposed as a result of such representation and
payment of costs and expenses. Without limiting the foregoing provisions of this
Section 2.2, the Company shall have the right, at its sole option, to assume the
defense of and control all proceedings in connection with such contest, in which
case it may pursue or forego any and all administrative appeals, proceedings,
hearings and conferences with the taxing authority in respect of such claim and
may either direct Employee to pay the tax claimed and sue for a refund or
contest the claim in any permissible manner, and Employee agrees to prosecute
such contest to a determination before any administrative tribunal, in a court
of initial jurisdiction and in one or more appellate courts, as the Company
shall determine; provided, however, that if the Company directs Employee to pay
such claim and sue for a refund, the Company shall advance the amount of such
payment to Employee, on an interest-free basis and shall indemnify and hold
Employee harmless, on an after-tax basis,



                                       5
<PAGE>   6

from any Excise Tax or income tax (including interest or penalties with respect
thereto) imposed with respect to such advance or with respect to any imputed
income with respect to such advance; and further provided that any extension of
the statute of limitations relating to payment of taxes for the taxable year of
Employee with respect to which such contested amount is claimed to be due is
limited solely to such contested amount. Furthermore, the Company's right to
assume the defense of and control the contest shall be limited to issues with
respect to which a Gross-Up Payment would be payable hereunder and Employee
shall be entitled to settle or contest, as the case may be, any other issue
raised by the Internal Revenue Service or any other taxing authority.

         (d) Right to Tax Refund. If, after the receipt by Employee of an amount
advanced by the Company pursuant to Section 2.2 Employee becomes entitled to
receive any refund with respect to such claim, Employee shall (subject to the
Company's complying with the requirements of Section 2.2(c)) promptly pay to the
Company the amount of such refund (together with any interest paid or credited
thereon after taxes applicable thereto). If, after the receipt by Employee of an
amount advanced by the Company pursuant to Section 2.2(c), a determination is
made that Employee is not entitled to a refund with respect to such claim and
the Company does not notify Employee in writing of its intent to contest such
denial of refund prior to the expiration of 30 days after such determination,
then such advance shall, to the extent of such denial, be forgiven and shall not
be required to be repaid and the amount of forgiven advance shall offset, to the
extent thereof, the amount of Gross-Up Payment required to be paid.

               ARTICLE III. PAYMENT UPON TERMINATION WITHOUT CAUSE

         SECTION 3.1  BENEFITS ON TERMINATION.

         (a) Amount. Subject to the conditions, limitations and adjustments that
are provided for herein, in the absence of a Change in Control, and in the event
Employee's employment is terminated either by the Company without cause or by
the Employee with cause, as described below, Employee shall be entitled to
receive an amount equal to 200% of the Employee's annual base compensation
determined by reference to his base salary in effect at the time of termination.

         (1) By Company Without Cause Termination of employment by the Company
without cause shall occur if the Company provides oral or written notice to
Employee of involuntary termination that is not on account of just cause. For
this purpose, termination for "just cause" will only occur upon written notice
to Employee that employment is involuntarily terminated due to any of the
following:

         (i)      conviction of Employee for a crime involving fraud, dishonesty
                  or theft, or of any felony which, in the reasonable judgment
                  of the Board, materially affects Employee's ability to perform
                  his duties pursuant to this Agreement;

         (ii)     commission by Employee of an act of fraud, embezzlement, or
                  material dishonesty against the Company or its affiliates; or



                                       6
<PAGE>   7

         (iii)    intentional neglect of or material inattention to Employee's
                  duties, which neglect or inattention remains uncorrected for
                  more than 30 days following written notice from the chief
                  executive officer of the Company detailing the Company's
                  concern.

         (2) By Employee With Cause. Termination of employment by Employee with
cause shall occur if Employee terminates employment for any of the following
reasons:

         (i)      A material adverse alteration in Employee's position,
                  responsibilities or status.

         (ii)     A reduction in Employee's base compensation or a substantial
                  reduction in the benefits provided to Employee.

         (iii)    Relocation of Employee by the Company to a location that is
                  more than 35 miles from the Employee's current workplace.

         (iv)     The material breach of the Company of any portion of its
                  employment policies and/or any employment agreement with
                  Employee.

         (b) Adjustments to the Amount of Benefit. Notwithstanding anything
herein to the contrary, the amounts due to Employee under Section 3.1(a) shall
be adjusted in accordance with Section 2.2 of this Agreement if any payment
provided to Employee is determined to be subject to the excise tax described in
section 4999 of the Code.

         (c) Time for Payment; Interest. The cash Benefits payable made under
this Section 3.1 shall be paid to Employee in a single lump sum within ten days
following the date of termination. The Company's obligation to pay to Employee
any amounts under this Section 3.1 will bear interest at the lesser of (i) 10%
or (ii) the maximum rate allowed by law until paid by the Company, and all
accrued and unpaid interest will bear interest at the same rate, all of which
interest will be compounded annually.

         SECTION 3.2  COMPETITION.

                  (a) Agreement Not to Compete. Employee agrees that, for a
period of 24 months after the termination of his employment as described in
Section 3.1(a), he will not:

         (i)      directly or indirectly, own, manage, control, participate in,
                  consult with or render services for (i) any business, the
                  operating facilities of which compete with the operating
                  facilities of the Company or its Subsidiaries within the
                  geographical area included in the 50-mile radius around each
                  location where the Company or any Subsidiary owns, leases,
                  manages or otherwise maintains an operating facility, engages
                  in business or, on the date of Employee's termination, plans
                  to own, lease, manage or otherwise maintain a facility or
                  engage in business, or (ii) any business in which the Company
                  or any of its



                                       7
<PAGE>   8

                  Subsidiaries has entered into a letter of intent or is or has
                  been within one year prior to the date of termination of
                  Employee's employment in active negotiations relating to the
                  acquisition of such business by the Company or its
                  Subsidiaries; or

         (ii)     interfere with, disrupt or attempt to disrupt any present or
                  prospective relationship, contractual or otherwise, between
                  the Company and any customer, supplier or employee of the
                  Company.

                  (b) Remedies. Employee agrees and acknowledges that the
violation by Employee of the agreements contained in this Section 3.2 would
cause irreparable injury to the Company and that the remedy at law for any
violation or threatened violation thereof by him would be inadequate and that
the Company shall be entitled to temporary and permanent injunctive relief or
other equitable relief without the necessity of proving actual damages.

                           ARTICLE IV. ADMINISTRATION

         SECTION 4.1. The provisions of this Agreement are intended to provide
severance benefits and protection to Employee. The Administrator has absolute
discretion to interpret the terms of this Agreement and to make all
determinations required in the administration hereof, including making
determinations about eligibility for and the amounts of Benefits. All decisions
of the Administrator are final, binding and conclusive on all parties.

         SECTION 4.2. Benefits can only be denied or forfeited if Employee does
not satisfy the conditions for receiving payment that are described herein or if
the Company validly amends the Agreement as described in Section 5.4.

         SECTION 4.3. If Employee's claim for Benefits is denied, the
Administrator will furnish written notice of denial to Employee within 90 days
of the date the claim is received, unless special circumstances require an
extension of time for processing the claim. This extension will not exceed 90
days, and Employee must receive written notice stating the grounds for the
extension and the length of the extension within the initial 90-day review
period. If the Administrator does not provide written notice, Employee may deem
the claim denied and seek review according to the appeals procedures set forth
below.

         (a) Notice of Denial. The notice of denial to the Claimant shall state:

         (1)      The specific reasons for the denial.

         (2)      Specific references to pertinent provisions of the Agreement
                  on which the denial was based.

         (3)      A description of any additional material or information needed
                  for Employee to perfect his claim and an explanation of why
                  the material or information is needed.



                                       8
<PAGE>   9

         (4)      A statement that Employee may request a review upon written
                  application to the Administrator, review pertinent documents,
                  and submit issues and comments in writing and that any appeal
                  that Employee wishes to make of the adverse determination must
                  be in writing to the Administrator within 60 days after
                  Employee receives notice of denial of benefits.

         (5)      The name and address of the Administrator to which Employee
                  may forward an appeal. The notice may state that failure to
                  appeal the action to the Administrator in writing within the
                  60-day period will render the determination final, binding and
                  conclusive.

         (b) Appeals Procedure. If Employee appeals to the Administrator,
Employee or his authorized representative may submit in writing whatever issues
and comments he believes to be pertinent. The Administrator shall reexamine all
facts related to the appeal and make a final determination of whether the denial
of benefits is justified under the circumstances. The Administrator shall advise
Employee in writing of:

         (1)      The Administrator's decision on appeal.

         (2)      The specific reasons for the decision.

         (3)      The specific provisions of the Agreement on which the decision
                  is based.

         Notice of the Administrator's decision shall be given within 60 days of
the Claimant's written request for review, unless additional time is required
due to special circumstances. In no event shall the Administrator render a
decision on an appeal later than 120 days after receiving a request for a
review.

                            ARTICLE V. GENERAL TERMS

         SECTION 5.1 NOTICES. All notices and other communications hereunder
will be in writing or by written telecommunication, and will be deemed to have
been duly given if delivered personally or if sent by overnight courier or by
written telecommunication, to the relevant address set forth below, or to such
other address as the recipient of such notice or communication will have
specified to the other party hereto in accordance with this Section:

         If to the Company to:

         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, Tennessee 37027
         Attn:    Howard T. Wall, III,
                  Senior Vice President and General Counsel




                                       9
<PAGE>   10

         If to Employee, to:

         Martin S. Rash
         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, TN  37027

         SECTION 5.2 WITHHOLDING; NO OFFSET. All payments required to be made by
the Company under this Agreement to Employee will be subject to the withholding
of such amounts, if any, relating to federal, state and local taxes as may be
required by law. No payment under this Agreement will be subject to offset or
reduction attributable to any amount Employee may owe to the Company or any
other person, except as required by law.

         SECTION 5.3 ERISA RIGHTS AND INFORMATION. Attached hereto as Appendix A
is a description of certain ERISA rights and other information applicable to
this Agreement.

         SECTION 5.4 ENTIRE AGREEMENT; MODIFICATION. This Agreement and its
attachments constitute the complete and entire agreement between the parties
with respect to the subject matter hereof and supersedes all prior agreements
between the parties. The parties have executed this Agreement based upon the
express terms and provisions set forth herein and have not relied on any
communications or representations, oral or written, which are not set forth in
this Agreement.

         SECTION 5.5 AMENDMENT. This Agreement may not be modified by an
subsequent agreement unless the modifying agreement: (i) is in writing; (ii)
contains an express provision referencing this Agreement; (iii) is signed and
executed on behalf of the Company by an officer of the Company other than
Employee; and (v) is signed by Employee.

         SECTION 5.6 CHOICE OF LAW. This Agreement and the performance hereof
will be construed and governed in accordance with the laws of the State of
Tennessee, without regard to its choice of law principles, except to the extent
that federal law controls or preempts state law.

         SECTION 5.7 SUCCESSORS AND ASSIGNS. The obligations, duties and
responsibilities of Employee under this Agreement are personal and shall not be
assignable. In the event of Employee's death or disability, this Agreement shall
be enforceable by Employee's estate, executors or legal representatives. The
obligations, duties and responsibilities of Company hereunder shall be binding
upon any successor of the Company (whether through a transaction described as a
Change in Control or otherwise).

         SECTION 5.8 WAIVER OF PROVISIONS. Any waiver of any terms and
conditions hereof must be in writing and signed by the parties hereto. The
waiver of any of the terms and conditions of this Agreement shall not be
construed as a waiver of any subsequent breach of the same or any other terms
and conditions hereof.



                                       10
<PAGE>   11

         SECTION 5.9 SEVERABILITY. The provisions of this Agreement and the
amount of Benefits payable hereunder shall be deemed severable, and if any
portion shall be held invalid, illegal or enforceable for any reason, the
remainder of this Agreement and/or Benefit payment shall be effective and
binding upon the parties.

         SECTION 5.10 COUNTERPARTS. This Agreement may be executed in multiple
counterparts, each of which will be deemed an original, and all of which
together will constitute one and the same instrument.




                                       11
<PAGE>   12

         IN WITNESS WHEREOF, Company and Employee have caused this Agreement to
be executed on the day and year indicated below to be effective on the day and
year first written above.


EMPLOYEE:



/s/ Martin S. Rash
- ------------------------------------               -----------------------------
MARTIN S. RASH                                                Date


COMPANY:

PROVINCE HEALTHCARE COMPANY



By: /s/ Joseph P. Nolan
- ------------------------------------               -----------------------------
                                                              Date
Its: Board Member




                                       12
<PAGE>   13
                                                                      APPENDIX A

                          ERISA RIGHTS AND INFORMATION

         The parties acknowledge that the following information is provided to
Employee hereunder in connection with Employee's rights as a welfare plan
participant under ERISA. The terms "you" and "yours" refer to Employee.

         As a participant in a welfare plan maintained by the Company, you are
entitled to certain rights and protections under ERISA. ERISA provides that all
plan participants shall be entitled to:

- -        Examine, without charge, at the Administrator's office and at other
         specified locations, all plan documents, including insurance contracts,
         and copies of all documents filed by the plan with the U.S. Department
         of Labor, such as detailed annual reports and plan descriptions.

- -        Obtain copies of all plan documents and other plan information upon
         written request to the Administrator. The Administrator may make a
         reasonable charge for the copies.

- -        Receive a summary of the plan's annual financial report. The
         Administrator is required by law to furnish each participant with a
         copy of this summary annual report.

         In addition to creating rights for plan participants, ERISA imposes
duties upon the people who are responsible for the operation of the employee
benefit plan. The people who operate your plan, called "fiduciaries" of the
plan, have a duty to do so prudently and in the interest of you and other plan
participants and beneficiaries. No one, including the Company or any other
person, may fire you or otherwise discriminate against you in any way to prevent
you from obtaining a benefit under this plan or from exercising your rights
under ERISA.

         If a claim for a Benefit is denied in whole or in part, you must
receive a written explanation of the reason for the denial. You have the right
to have the Administrator review and reconsider your claim.

         Under ERISA, there are steps you can take to enforce the above rights.
For instance, if you request materials from the plan and do not receive them
within 30 days, you may file suit in a federal court. In such a case, the court
may require the Administrator to provide the materials and pay you up to $100 a
day until you receive the materials, unless the materials were not sent because
of reasons beyond the control of the Administrator.

         If you have a claim for benefits that is denied or ignored, in whole or
in part, you may file suit in a state or federal court. If it should happen that
plan fiduciaries misuse the plan's



                                       13
<PAGE>   14

money or if you are discriminated against for asserting your rights, you may
seek assistance from the U.S. Department of Labor or you may file suit in a
federal court. The court will decide who should pay court costs and fees. If you
lose, the court may order you to pay these costs and fees, for example, if it
finds your claim is frivolous.

         If you have any questions about your plan, you should contact the
Administrator. If you have any questions about this statement or about your
rights under ERISA, you should contact the nearest Area Office of the U.S.
Labor-Management Services Administration, Department of Labor.

                          SUMMARY OF ERISA INFORMATION

Name of Plan: Province Healthcare Company Executive Severance Plan

Name and Address of the Company:

         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, Tennessee 37027

Who Pays for the Plan: The cost of the plan is paid entirely by the Company.

The Company's Employer Identification No.:  62-1710772

Plan Number:  599

Plan Year:  January 1 to December 31

Plan Administrator, Name, Address and Telephone No.:

                  Administrator of the Province Healthcare Company Executive
                  Severance Plan
                  c/o _____________
                  Province Healthcare Company
                  105 Westwood Place, Suite 400
                  Brentwood, Tennessee 37027
                  (615) 370-1377

Agent for Service of Legal Process on the Plan: Chief Executive Officer or
Administrator.

Benefits are paid out of the general assets of the Company. The Company may, in
its discretion establish a "grantor trust" to fund the payment of Benefits.
Otherwise, this plan does not give you any rights to any particular assets of
the Company. Cash amounts paid under a severance plan are generally considered
taxable income to the recipient.




                                       14





<PAGE>   1
                                                                    EXHIBIT 10.2


                           PROVINCE HEALTHCARE COMPANY
                          EXECUTIVE SEVERANCE AGREEMENT

         THIS EXECUTIVE SEVERANCE AGREEMENT ("Agreement") is entered into as of
this 18th day of October, 1999, by and between Province Healthcare Company (the
"Company") and JAMES THOMAS ANDERSON ("Employee").

                              W I T N E S S E T H:

         WHEREAS, Employee is employed as Senior Vice President of Acquisitions
& Development of the Company; and

         WHEREAS, the Company desires to provide certain severance payments to
Employee in the event that Employee's employment with the Company is terminated
without cause or in connection with a change in control of the Company;

         NOW, THEREFORE, based upon the premises set forth herein and for other
good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties agree as follows:

                             ARTICLE I. DEFINITIONS

         Terms used in this Agreement that are defined are indicated by initial
capitalization of the term. References to an "Article" or a "Section" mean an
article or a section of this Agreement. In addition to those terms that are
specifically defined herein, the following terms are defined for purposes
hereof:

         "Administrator" means a committee consisting of the Company's chief
executive officer, the secretary of the Company, the vice president of human
resources, and any other individuals appointed by the chief executive officer.
The Administrator may delegate any of its duties or authorities to any person or
entity. If a Change in Control occurs, as described in this Agreement, the
Administrator shall be the committee of individuals who were committee members
immediately prior to the Change in Control.

         "Benefit" means the benefits described in Article II and Article III.

         "Change in Control" means a transaction or circumstance in which any of
the following have occurred:

         (a) any "person" as such term is used in sections 13(d) and 14(d) of
the Exchange Act, other than the Company or a wholly-owned Subsidiary thereof or
any employee benefit plan of



<PAGE>   2

the Company, becomes the "beneficial owner" (as defined in Rule 13d-3 under said
Act), directly or indirectly, of securities of the Company representing more
than 50% of the total voting power represented by the Company's then outstanding
Voting Securities (as defined below), or

         (b) during any period of two consecutive years, individuals who at the
beginning of such period constitute the Board and any new director whose
election by the Board or nomination for election by the Company's shareholders
was approved by a vote of at least two-thirds of the directors then still in
office who either were directors at the beginning of the period or whose
election or nomination for election was previously so approved, cease for any
reason to constitute a majority thereof, or

         (c) the shareholders of the Company approve a merger or consolidation
of the Company with any other corporation, other than a merger or consolidation
which would result in the Voting Securities (i.e., any securities of the entity
which vote generally in the election of its directors) of the Company
outstanding immediately prior thereto continuing to represent (either by
remaining outstanding or by being converted into Voting Securities of the
surviving entity) more than 50% of the total voting power represented by the
Voting Securities of the Company or such surviving entity outstanding
immediately after such merger or consolidation, or

         (d) the shareholders of the Company approve a plan of complete
liquidation of the Company or an agreement for the sale or disposition by the
Company of all or substantially all of its assets.

         "Code" means the Internal Revenue Code of 1986, as amended.

         "ERISA" means the Employee Retirement Income Security Act of 1974, as
amended.

         "Subsidiary" means any subsidiary of the Company or of any of its
subsidiaries.

                ARTICLE II. CHANGE IN CONTROL TERMINATION PAYMENT

SECTION 2.1 BENEFITS ON TERMINATION.

         (a) Amount. Subject to the conditions, limitations and adjustments that
are provided for herein, the Company will provide Benefits to Employee equal to
the sum of the amounts described below if, within the 24 month period following
a Change in Control, Employee's employment with the Company terminates for any
reason:

         (1)      An amount equal to 200% of the Employee's annual base
                  compensation determined by reference to his base salary in
                  effect at the time of Change in Control.

         (2)      An amount equal to 200% of the highest annual bonus that
                  Employee would be eligible to receive during the fiscal year
                  ending during which the Change in Control occurs.



                                       2
<PAGE>   3

         (3)      For a period of 24 months, participation in medical, life,
                  disability and similar benefit plans that are offered to
                  similarly situated employees of the Company immediately prior
                  to the applicable Change in Control for the Eligible Employee
                  and his dependents. Such participation may be pursuant to the
                  continuation coverage rights of Eligible Employees pursuant to
                  Part 6 of Title I of ERISA ("COBRA") or the Company may
                  provide such benefits directly through the purchase of
                  insurance or otherwise. Notwithstanding the foregoing, the
                  period for participation in a self-funded medical plan
                  pursuant to this paragraph 3 shall not exceed the maximum
                  period of continuation coverage provided under COBRA. If
                  benefits are provided pursuant to COBRA continuation rights,
                  the Company shall pay a cash amount to the Eligible Employee
                  at the time of severance that is sufficient to cover all
                  premiums required for such COBRA coverage under the
                  appropriate benefit plans.

         (4)      For a period of 24 months, participation in general and
                  executive fringe benefits offered to similarly situated
                  executive employees immediately prior to the applicable Change
                  in Control.

         (5)      Upon the effective date of any Change in Control, any stock
                  purchase options held by Employee pursuant to any qualified or
                  nonqualified Company option plan shall immediately vest and
                  become exercisable. The provisions of this Section 2.1 shall
                  supersede any contrary provisions of any other agreement by
                  and between the parties hereto, now existing or hereafter
                  created, unless the provisions of this Section 2.1 shall be
                  referred to specifically therein and modified, amended or
                  waived by both parties hereto.

         (b) Adjustments to the Amount of Benefit. Notwithstanding anything
herein to the contrary, the amounts due to Employee under Section 2.1(a) shall
be adjusted in accordance with Section 2.2 if any payment provided to Employee
is determined to be subject to the excise tax described in section 4999 of the
Code.

         (c) Time for Payment; Interest. The cash Benefits payable made under
this Section 2.1 shall be paid to Employee in a single lump sum within ten days
following the date of termination. The Company's obligation to pay to Employee
any amounts under this Section 2.1 will bear interest at the lesser of (i) 10%
or (ii) the maximum rate allowed by law until paid by the Company, and all
accrued and unpaid interest will bear interest at the same rate, all of which
interest will be compounded annually.

         2.2 BENEFIT ADJUSTMENTS.

         (a) Gross Up Payment. Anything in this Agreement to the contrary
notwithstanding, in the event it shall be determined that any payment or
distribution by or on behalf of the Company to or for the benefit of Employee as
a result of a "change in control," as defined in section 280G of the



                                       3
<PAGE>   4

Code, whether paid or payable or distributed or distributable pursuant to the
terms of this Agreement or otherwise, but determined without regard to any
additional payments required under this Section, (a "Payment") would be subject
to the excise tax imposed by section 4999 of the Code or any interest or
penalties are incurred by Employee with respect to such excise tax (such excise
tax, together with any such interest and penalties, are hereinafter collectively
referred to as the "Excise Tax"), then Employee shall be entitled to receive an
additional payment (a "Gross-Up Payment") in an amount such that after payment
by Employee of all taxes (including any interest or penalties imposed with
respect to such taxes), including, without limitation, any income taxes (and any
interest and penalties imposed with respect thereto) and Excise Tax imposed upon
the Gross-Up Payment, Employee retains an amount of the Gross-Up Payment equal
to the Excise Tax imposed upon the Payments.

         (b) Tax Opinion. Subject to the provisions of Section 2.2(c), all
determinations required to be made under this Section 2.2, including whether and
when a Gross-Up Payment is required and the amount of such Gross-Up Payment and
the assumptions to be utilized in arriving at such determination, shall be made
by a nationally recognized accounting firm or law firm selected by the Company
(the "Tax Firm"); provided, however, that the Tax Firm shall not determine that
no Excise Tax is payable by Employee unless it delivers to Employee a written
opinion (the "Tax Opinion") that failure to pay the Excise Tax and to report the
Excise Tax and the payments potentially subject thereto on or with Employee's
applicable federal income tax return will not result in the imposition of an
accuracy-related or other penalty on Employee. All fees and expenses of the Tax
Firm shall be borne solely by the Company. Within 15 business days of the
receipt of notice from Employee that there has been a Payment, or such earlier
time as is requested by the Company, the Tax Firm shall make all determinations
required under this Section, shall provide to the Company and Employee a written
report setting forth such determinations, together with detailed supporting
calculations, and, if the Tax Firm determines that no Excise Tax is payable,
shall deliver the Tax Opinion to Employee. Any Gross-Up Payment, as determined
pursuant to this Section, shall be paid by the Company to Employee within
fifteen days of the receipt of the Tax Firm's determination. Subject to the
remainder of this Section 2.2, any determination by the Tax Firm shall be
binding upon the Company and Employee; provided, however, that Employee shall
only be bound to the extent that the determinations of the Tax Firm hereunder,
including the determinations made in the Tax Opinion, are reasonable and
reasonably supported by applicable law. As a result of the uncertainty in the
application of section 4999 of the Code at the time of the initial determination
by the Tax Firm hereunder, it is possible that Gross-Up Payments which will not
have been made by the Company should have been made ("Underpayment"), consistent
with the calculations required to be made hereunder. In the event that it is
ultimately determined in accordance with the procedures set forth in Section
2.2(c) that Employee is required to make a payment of any Excise Tax, the Tax
Firm shall reasonably determine the amount of the Underpayment that has occurred
and any such Underpayment shall be promptly paid by the Company to or for the
benefit of Employee. In determining the reasonableness of Tax Firm's
determinations hereunder, and the effect thereof, Employee shall be provided a
reasonable opportunity to review such determinations with Tax Firm and
Employee's tax counsel. Tax Firm's determinations hereunder, and the Tax
Opinion, shall not be deemed



                                       4
<PAGE>   5

reasonable until Employee's reasonable objections and comments thereto have been
satisfactorily accommodated by Tax Firm.

         (c) Notice of IRS Claim. Employee shall notify the Company in writing
of any claims by the Internal Revenue Service that, if successful, would require
the payment by the Company of the Gross-Up Payment. Such notification shall be
given as soon as practicable but no later than 30 calendar days after Employee
actually receives notice in writing of such claim and shall apprise the Company
of the nature of such claim and the date on which such claim is requested to be
paid; provided, however, that the failure of Employee to notify the Company of
such claim (or to provide any required information with respect thereto) shall
not affect any rights granted to Employee under this Section 2.2 except to the
extent that the Company is materially prejudiced in the defense of such claim as
a direct result of such failure. Employee shall not pay such claim prior to the
expiration of the 30-day period following the date on which he gives such notice
to the Company (or such shorter period ending on the date that any payment of
taxes with respect to such claim is due). If the Company notifies Employee in
writing prior to the expiration of such period that it desires to contest such
claim, Employee shall do all of the following:

         (1)      give the Company any information reasonably requested by the
                  Company relating to such claim;

         (2)      take such action in connection with contesting such claim as
                  the Company shall reasonably request in writing from time to
                  time, including, without limitation, accepting legal
                  representation with respect to such claim by an attorney
                  selected by the Company and reasonably acceptable to Employee;

         (3)      cooperate with the Company in good faith in order effectively
                  to contest such claim;

         (4)      if the Company elects not to assume and control the defense of
                  such claim, permit the Company to participate in any
                  proceedings relating to such claim;

provided, however, that the Company shall bear and pay directly all costs and
expenses (including additional interest and penalties) incurred in connection
with such contest and shall indemnify and hold Employee harmless, on an
after-tax basis, for any Excise Tax or income tax (including interest and
penalties with respect thereto) imposed as a result of such representation and
payment of costs and expenses. Without limiting the foregoing provisions of this
Section 2.2, the Company shall have the right, at its sole option, to assume the
defense of and control all proceedings in connection with such contest, in which
case it may pursue or forego any and all administrative appeals, proceedings,
hearings and conferences with the taxing authority in respect of such claim and
may either direct Employee to pay the tax claimed and sue for a refund or
contest the claim in any permissible manner, and Employee agrees to prosecute
such contest to a determination before any administrative tribunal, in a court
of initial jurisdiction and in one or more appellate courts, as the Company
shall determine; provided, however, that if the Company directs Employee to pay
such claim and sue for a refund, the Company shall advance the amount of such
payment to Employee, on an interest-free basis and shall indemnify and hold
Employee harmless, on an after-tax basis,



                                       5
<PAGE>   6

from any Excise Tax or income tax (including interest or penalties with respect
thereto) imposed with respect to such advance or with respect to any imputed
income with respect to such advance; and further provided that any extension of
the statute of limitations relating to payment of taxes for the taxable year of
Employee with respect to which such contested amount is claimed to be due is
limited solely to such contested amount. Furthermore, the Company's right to
assume the defense of and control the contest shall be limited to issues with
respect to which a Gross-Up Payment would be payable hereunder and Employee
shall be entitled to settle or contest, as the case may be, any other issue
raised by the Internal Revenue Service or any other taxing authority.

         (d) Right to Tax Refund. If, after the receipt by Employee of an amount
advanced by the Company pursuant to Section 2.2 Employee becomes entitled to
receive any refund with respect to such claim, Employee shall (subject to the
Company's complying with the requirements of Section 2.2(c)) promptly pay to the
Company the amount of such refund (together with any interest paid or credited
thereon after taxes applicable thereto). If, after the receipt by Employee of an
amount advanced by the Company pursuant to Section 2.2(c), a determination is
made that Employee is not entitled to a refund with respect to such claim and
the Company does not notify Employee in writing of its intent to contest such
denial of refund prior to the expiration of 30 days after such determination,
then such advance shall, to the extent of such denial, be forgiven and shall not
be required to be repaid and the amount of forgiven advance shall offset, to the
extent thereof, the amount of Gross-Up Payment required to be paid.

               ARTICLE III. PAYMENT UPON TERMINATION WITHOUT CAUSE

         SECTION 3.1  BENEFITS ON TERMINATION.

         (a) Amount. Subject to the conditions, limitations and adjustments that
are provided for herein, in the absence of a Change in Control, and in the event
Employee's employment is terminated either by the Company without cause or by
the Employee with cause, as described below, Employee shall be entitled to
receive an amount equal to 200% of the Employee's annual base compensation
determined by reference to his base salary in effect at the time of termination.

         (1) By Company Without Cause Termination of employment by the Company
without cause shall occur if the Company provides oral or written notice to
Employee of involuntary termination that is not on account of just cause. For
this purpose, termination for "just cause" will only occur upon written notice
to Employee that employment is involuntarily terminated due to any of the
following:

         (i)      conviction of Employee for a crime involving fraud, dishonesty
                  or theft, or of any felony which, in the reasonable judgment
                  of the Board, materially affects Employee's ability to perform
                  his duties pursuant to this Agreement;

         (ii)     commission by Employee of an act of fraud, embezzlement, or
                  material dishonesty against the Company or its affiliates; or



                                       6
<PAGE>   7

         (iii)    intentional neglect of or material inattention to Employee's
                  duties, which neglect or inattention remains uncorrected for
                  more than 30 days following written notice from the chief
                  executive officer of the Company detailing the Company's
                  concern.

         (2) By Employee With Cause. Termination of employment by Employee with
cause shall occur if Employee terminates employment for any of the following
reasons:

         (i)      A material adverse alteration in Employee's position,
                  responsibilities or status.

         (ii)     A reduction in Employee's base compensation or a substantial
                  reduction in the benefits provided to Employee.

         (iii)    Relocation of Employee by the Company to a location that is
                  more than 35 miles from the Employee's current workplace.

         (iv)     The material breach of the Company of any portion of its
                  employment policies and/or any employment agreement with
                  Employee.

         (b) Adjustments to the Amount of Benefit. Notwithstanding anything
herein to the contrary, the amounts due to Employee under Section 3.1(a) shall
be adjusted in accordance with Section 2.2 of this Agreement if any payment
provided to Employee is determined to be subject to the excise tax described in
section 4999 of the Code.

         (c) Time for Payment; Interest. The cash Benefits payable made under
this Section 3.1 shall be paid to Employee in a single lump sum within ten days
following the date of termination. The Company's obligation to pay to Employee
any amounts under this Section 3.1 will bear interest at the lesser of (i) 10%
or (ii) the maximum rate allowed by law until paid by the Company, and all
accrued and unpaid interest will bear interest at the same rate, all of which
interest will be compounded annually.

         SECTION 3.2  COMPETITION.

                  (a) Agreement Not to Compete. Employee agrees that, for a
period of 24 months after the termination of his employment as described in
Section 3.1(a), he will not:

         (i)      directly or indirectly, own, manage, control, participate in,
                  consult with or render services for (i) any business, the
                  operating facilities of which compete with the operating
                  facilities of the Company or its Subsidiaries within the
                  geographical area included in the 50-mile radius around each
                  location where the Company or any Subsidiary owns, leases,
                  manages or otherwise maintains an operating facility, engages
                  in business or, on the date of Employee's termination, plans
                  to own, lease, manage or otherwise maintain a facility or
                  engage in business, or (ii) any business in which the Company
                  or any of its



                                       7
<PAGE>   8

                  Subsidiaries has entered into a letter of intent or is or has
                  been within one year prior to the date of termination of
                  Employee's employment in active negotiations relating to the
                  acquisition of such business by the Company or its
                  Subsidiaries; or

         (ii)     interfere with, disrupt or attempt to disrupt any present or
                  prospective relationship, contractual or otherwise, between
                  the Company and any customer, supplier or employee of the
                  Company.

                  (b) Remedies. Employee agrees and acknowledges that the
violation by Employee of the agreements contained in this Section 3.2 would
cause irreparable injury to the Company and that the remedy at law for any
violation or threatened violation thereof by him would be inadequate and that
the Company shall be entitled to temporary and permanent injunctive relief or
other equitable relief without the necessity of proving actual damages.

                           ARTICLE IV. ADMINISTRATION

         SECTION 4.1. The provisions of this Agreement are intended to provide
severance benefits and protection to Employee. The Administrator has absolute
discretion to interpret the terms of this Agreement and to make all
determinations required in the administration hereof, including making
determinations about eligibility for and the amounts of Benefits. All decisions
of the Administrator are final, binding and conclusive on all parties.

         SECTION 4.2. Benefits can only be denied or forfeited if Employee does
not satisfy the conditions for receiving payment that are described herein or if
the Company validly amends the Agreement as described in Section 5.4.

         SECTION 4.3. If Employee's claim for Benefits is denied, the
Administrator will furnish written notice of denial to Employee within 90 days
of the date the claim is received, unless special circumstances require an
extension of time for processing the claim. This extension will not exceed 90
days, and Employee must receive written notice stating the grounds for the
extension and the length of the extension within the initial 90-day review
period. If the Administrator does not provide written notice, Employee may deem
the claim denied and seek review according to the appeals procedures set forth
below.

         (a) Notice of Denial. The notice of denial to the Claimant shall state:

         (1)      The specific reasons for the denial.

         (2)      Specific references to pertinent provisions of the Agreement
                  on which the denial was based.

         (3)      A description of any additional material or information needed
                  for Employee to perfect his claim and an explanation of why
                  the material or information is needed.



                                       8
<PAGE>   9

         (4)      A statement that Employee may request a review upon written
                  application to the Administrator, review pertinent documents,
                  and submit issues and comments in writing and that any appeal
                  that Employee wishes to make of the adverse determination must
                  be in writing to the Administrator within 60 days after
                  Employee receives notice of denial of benefits.

         (5)      The name and address of the Administrator to which Employee
                  may forward an appeal. The notice may state that failure to
                  appeal the action to the Administrator in writing within the
                  60-day period will render the determination final, binding and
                  conclusive.

         (b) Appeals Procedure. If Employee appeals to the Administrator,
Employee or his authorized representative may submit in writing whatever issues
and comments he believes to be pertinent. The Administrator shall reexamine all
facts related to the appeal and make a final determination of whether the denial
of benefits is justified under the circumstances. The Administrator shall advise
Employee in writing of:

         (1)      The Administrator's decision on appeal.

         (2)      The specific reasons for the decision.

         (3)      The specific provisions of the Agreement on which the decision
                  is based.

         Notice of the Administrator's decision shall be given within 60 days of
the Claimant's written request for review, unless additional time is required
due to special circumstances. In no event shall the Administrator render a
decision on an appeal later than 120 days after receiving a request for a
review.

                            ARTICLE V. GENERAL TERMS

         SECTION 5.1 NOTICES. All notices and other communications hereunder
will be in writing or by written telecommunication, and will be deemed to have
been duly given if delivered personally or if sent by overnight courier or by
written telecommunication, to the relevant address set forth below, or to such
other address as the recipient of such notice or communication will have
specified to the other party hereto in accordance with this Section:

         If to the Company to:

         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, Tennessee 37027
         Attn:    Howard T. Wall, III,
                  Senior Vice President and General Counsel



                                       9
<PAGE>   10

         If to Employee, to:

         James Thomas Anderson
         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, TN  37027

         SECTION 5.2 WITHHOLDING; NO OFFSET. All payments required to be made by
the Company under this Agreement to Employee will be subject to the withholding
of such amounts, if any, relating to federal, state and local taxes as may be
required by law. No payment under this Agreement will be subject to offset or
reduction attributable to any amount Employee may owe to the Company or any
other person, except as required by law.

         SECTION 5.3 ERISA RIGHTS AND INFORMATION. Attached hereto as Appendix A
is a description of certain ERISA rights and other information applicable to
this Agreement.

         SECTION 5.4 ENTIRE AGREEMENT; MODIFICATION. This Agreement and its
attachments constitute the complete and entire agreement between the parties
with respect to the subject matter hereof and supersedes all prior agreements
between the parties. The parties have executed this Agreement based upon the
express terms and provisions set forth herein and have not relied on any
communications or representations, oral or written, which are not set forth in
this Agreement.

         SECTION 5.5 AMENDMENT. This Agreement may not be modified by an
subsequent agreement unless the modifying agreement: (i) is in writing; (ii)
contains an express provision referencing this Agreement; (iii) is signed and
executed on behalf of the Company by an officer of the Company other than
Employee; and (v) is signed by Employee.

         SECTION 5.6 CHOICE OF LAW. This Agreement and the performance hereof
will be construed and governed in accordance with the laws of the State of
Tennessee, without regard to its choice of law principles, except to the extent
that federal law controls or preempts state law.

         SECTION 5.7 SUCCESSORS AND ASSIGNS. The obligations, duties and
responsibilities of Employee under this Agreement are personal and shall not be
assignable. In the event of Employee's death or disability, this Agreement shall
be enforceable by Employee's estate, executors or legal representatives. The
obligations, duties and responsibilities of Company hereunder shall be binding
upon any successor of the Company (whether through a transaction described as a
Change in Control or otherwise).

         SECTION 5.8 WAIVER OF PROVISIONS. Any waiver of any terms and
conditions hereof must be in writing and signed by the parties hereto. The
waiver of any of the terms and conditions of this Agreement shall not be
construed as a waiver of any subsequent breach of the same or any other terms
and conditions hereof.



                                       10
<PAGE>   11

         SECTION 5.9 SEVERABILITY. The provisions of this Agreement and the
amount of Benefits payable hereunder shall be deemed severable, and if any
portion shall be held invalid, illegal or enforceable for any reason, the
remainder of this Agreement and/or Benefit payment shall be effective and
binding upon the parties.

         SECTION 5.10 COUNTERPARTS. This Agreement may be executed in multiple
counterparts, each of which will be deemed an original, and all of which
together will constitute one and the same instrument.




                                       11
<PAGE>   12

         IN WITNESS WHEREOF, Company and Employee have caused this Agreement to
be executed on the day and year indicated below to be effective on the day and
year first written above.


EMPLOYEE:



/s/ James Thomas Anderson                                     1/24/2000
- --------------------------------------------          --------------------------
JAMES THOMAS ANDERSON                                         Date


COMPANY:

PROVINCE HEALTHCARE COMPANY



By: /s/ Martin S. Rash
- --------------------------------------------          --------------------------
                                                               Date

Its:
     ---------------------------------------



                                       12
<PAGE>   13
                                                                      APPENDIX A


                          ERISA RIGHTS AND INFORMATION

         The parties acknowledge that the following information is provided to
Employee hereunder in connection with Employee's rights as a welfare plan
participant under ERISA. The terms "you" and "yours" refer to Employee.

         As a participant in a welfare plan maintained by the Company, you are
entitled to certain rights and protections under ERISA. ERISA provides that all
plan participants shall be entitled to:

- -        Examine, without charge, at the Administrator's office and at other
         specified locations, all plan documents, including insurance contracts,
         and copies of all documents filed by the plan with the U.S. Department
         of Labor, such as detailed annual reports and plan descriptions.

- -        Obtain copies of all plan documents and other plan information upon
         written request to the Administrator. The Administrator may make a
         reasonable charge for the copies.

- -        Receive a summary of the plan's annual financial report. The
         Administrator is required by law to furnish each participant with a
         copy of this summary annual report.

         In addition to creating rights for plan participants, ERISA imposes
duties upon the people who are responsible for the operation of the employee
benefit plan. The people who operate your plan, called "fiduciaries" of the
plan, have a duty to do so prudently and in the interest of you and other plan
participants and beneficiaries. No one, including the Company or any other
person, may fire you or otherwise discriminate against you in any way to prevent
you from obtaining a benefit under this plan or from exercising your rights
under ERISA.

         If a claim for a Benefit is denied in whole or in part, you must
receive a written explanation of the reason for the denial. You have the right
to have the Administrator review and reconsider your claim.

         Under ERISA, there are steps you can take to enforce the above rights.
For instance, if you request materials from the plan and do not receive them
within 30 days, you may file suit in a federal court. In such a case, the court
may require the Administrator to provide the materials and pay you up to $100 a
day until you receive the materials, unless the materials were not sent because
of reasons beyond the control of the Administrator.

         If you have a claim for benefits that is denied or ignored, in whole or
in part, you may file suit in a state or federal court. If it should happen that
plan fiduciaries misuse the plan's



                                       13
<PAGE>   14

money or if you are discriminated against for asserting your rights, you may
seek assistance from the U.S. Department of Labor or you may file suit in a
federal court. The court will decide who should pay court costs and fees. If you
lose, the court may order you to pay these costs and fees, for example, if it
finds your claim is frivolous.

         If you have any questions about your plan, you should contact the
Administrator. If you have any questions about this statement or about your
rights under ERISA, you should contact the nearest Area Office of the U.S.
Labor-Management Services Administration, Department of Labor.

                          SUMMARY OF ERISA INFORMATION

Name of Plan: Province Healthcare Company Executive Severance Plan

Name and Address of the Company:

         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, Tennessee 37027

Who Pays for the Plan:     The cost of the plan is paid entirely by the Company.

The Company's Employer Identification No.:  62-1710772

Plan Number:  599

Plan Year:  January 1 to December 31

Plan Administrator, Name, Address and Telephone No.:

                  Administrator of the Province Healthcare Company Executive
                  Severance Plan
                  c/o _____________
                  Province Healthcare Company
                  105 Westwood Place, Suite 400
                  Brentwood, Tennessee 37027
                  (615) 370-1377

Agent for Service of Legal Process on the Plan:   Chief Executive Officer or
Administrator.

Benefits are paid out of the general assets of the Company. The Company may, in
its discretion establish a "grantor trust" to fund the payment of Benefits.
Otherwise, this plan does not give you any rights to any particular assets of
the Company. Cash amounts paid under a severance plan are generally considered
taxable income to the recipient.



                                       14

<PAGE>   1
                                                                    EXHIBIT 10.3

                           PROVINCE HEALTHCARE COMPANY

                          EXECUTIVE SEVERANCE AGREEMENT

         THIS EXECUTIVE SEVERANCE AGREEMENT ("Agreement") is entered into as of
this 18th day of October, 1999, by and between Province Healthcare Company (the
"Company") and JOHN M. RUTLEDGE ("Employee").

                              W I T N E S S E T H:

         WHEREAS, Employee is employed as Executive Vice President and Chief
Operating Officer of the Company; and

         WHEREAS, the Company desires to provide certain severance payments to
Employee in the event that Employee's employment with the Company is terminated
without cause or in connection with a change in control of the Company;

         NOW, THEREFORE, based upon the premises set forth herein and for other
good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties agree as follows:

                             ARTICLE I. DEFINITIONS

         Terms used in this Agreement that are defined are indicated by initial
capitalization of the term. References to an "Article" or a "Section" mean an
article or a section of this Agreement. In addition to those terms that are
specifically defined herein, the following terms are defined for purposes
hereof:

         "Administrator" means a committee consisting of the Company's chief
executive officer, the secretary of the Company, the vice president of human
resources, and any other individuals appointed by the chief executive officer.
The Administrator may delegate any of its duties or authorities to any person or
entity. If a Change in Control occurs, as described in this Agreement, the
Administrator shall be the committee of individuals who were committee members
immediately prior to the Change in Control.

         "Benefit" means the benefits described in Article II and Article III.

         "Change in Control" means a transaction or circumstance in which any of
the following have occurred:

         (a) any "person" as such term is used in sections 13(d) and 14(d) of
the Exchange Act, other than the Company or a wholly-owned Subsidiary thereof or
any employee benefit plan of the Company, becomes the "beneficial owner" (as
defined in Rule 13d-3 under said Act), directly



<PAGE>   2

or indirectly, of securities of the Company representing more than 50% of the
total voting power represented by the Company's then outstanding Voting
Securities (as defined below), or

         (b) during any period of two consecutive years, individuals who at the
beginning of such period constitute the Board and any new director whose
election by the Board or nomination for election by the Company's shareholders
was approved by a vote of at least two-thirds of the directors then still in
office who either were directors at the beginning of the period or whose
election or nomination for election was previously so approved, cease for any
reason to constitute a majority thereof, or

         (c) the shareholders of the Company approve a merger or consolidation
of the Company with any other corporation, other than a merger or consolidation
which would result in the Voting Securities (i.e., any securities of the entity
which vote generally in the election of its directors) of the Company
outstanding immediately prior thereto continuing to represent (either by
remaining outstanding or by being converted into Voting Securities of the
surviving entity) more than 50% of the total voting power represented by the
Voting Securities of the Company or such surviving entity outstanding
immediately after such merger or consolidation, or

         (d) the shareholders of the Company approve a plan of complete
liquidation of the Company or an agreement for the sale or disposition by the
Company of all or substantially all of its assets.

         "Code" means the Internal Revenue Code of 1986, as amended.

         "ERISA" means the Employee Retirement Income Security Act of 1974, as
amended.

         "Subsidiary" means any subsidiary of the Company or of any of its
subsidiaries.

                ARTICLE II. CHANGE IN CONTROL TERMINATION PAYMENT

SECTION 2.1 BENEFITS ON TERMINATION.

         (a) Amount. Subject to the conditions, limitations and adjustments that
are provided for herein, the Company will provide Benefits to Employee equal to
the sum of the amounts described below if, within the 24 month period following
a Change in Control, Employee's employment with the Company terminates for any
reason:

         (1)      An amount equal to 200% of the Employee's annual base
                  compensation determined by reference to his base salary in
                  effect at the time of Change in Control.

         (2)      An amount equal to 200% of the highest annual bonus that
                  Employee would be eligible to receive during the fiscal year
                  ending during which the Change in Control occurs.



                                       2
<PAGE>   3

         (3)      For a period of 24 months, participation in medical, life,
                  disability and similar benefit plans that are offered to
                  similarly situated employees of the Company immediately prior
                  to the applicable Change in Control for the Eligible Employee
                  and his dependents. Such participation may be pursuant to the
                  continuation coverage rights of Eligible Employees pursuant to
                  Part 6 of Title I of ERISA ("COBRA") or the Company may
                  provide such benefits directly through the purchase of
                  insurance or otherwise. Notwithstanding the foregoing, the
                  period for participation in a self-funded medical plan
                  pursuant to this paragraph 3 shall not exceed the maximum
                  period of continuation coverage provided under COBRA. If
                  benefits are provided pursuant to COBRA continuation rights,
                  the Company shall pay a cash amount to the Eligible Employee
                  at the time of severance that is sufficient to cover all
                  premiums required for such COBRA coverage under the
                  appropriate benefit plans.

         (4)      For a period of 24 months, participation in general and
                  executive fringe benefits offered to similarly situated
                  executive employees immediately prior to the applicable Change
                  in Control.

         (5)      Upon the effective date of any Change in Control, any stock
                  purchase options held by Employee pursuant to any qualified or
                  nonqualified Company option plan shall immediately vest and
                  become exercisable. The provisions of this Section 2.1 shall
                  supersede any contrary provisions of any other agreement by
                  and between the parties hereto, now existing or hereafter
                  created, unless the provisions of this Section 2.1 shall be
                  referred to specifically therein and modified, amended or
                  waived by both parties hereto.

         (b) Adjustments to the Amount of Benefit. Notwithstanding anything
herein to the contrary, the amounts due to Employee under Section 2.1(a) shall
be adjusted in accordance with Section 2.2 if any payment provided to Employee
is determined to be subject to the excise tax described in section 4999 of the
Code.

         (c) Time for Payment; Interest. The cash Benefits payable made under
this Section 2.1 shall be paid to Employee in a single lump sum within ten days
following the date of termination. The Company's obligation to pay to Employee
any amounts under this Section 2.1 will bear interest at the lesser of (i) 10%
or (ii) the maximum rate allowed by law until paid by the Company, and all
accrued and unpaid interest will bear interest at the same rate, all of which
interest will be compounded annually.

         2.2 BENEFIT ADJUSTMENTS.

         (a) Gross Up Payment. Anything in this Agreement to the contrary
notwithstanding, in the event it shall be determined that any payment or
distribution by or on behalf of the Company to or for the benefit of Employee as
a result of a "change in control," as defined in section 280G of the



                                       3
<PAGE>   4

Code, whether paid or payable or distributed or distributable pursuant to the
terms of this Agreement or otherwise, but determined without regard to any
additional payments required under this Section, (a "Payment") would be subject
to the excise tax imposed by section 4999 of the Code or any interest or
penalties are incurred by Employee with respect to such excise tax (such excise
tax, together with any such interest and penalties, are hereinafter collectively
referred to as the "Excise Tax"), then Employee shall be entitled to receive an
additional payment (a "Gross-Up Payment") in an amount such that after payment
by Employee of all taxes (including any interest or penalties imposed with
respect to such taxes), including, without limitation, any income taxes (and any
interest and penalties imposed with respect thereto) and Excise Tax imposed upon
the Gross-Up Payment, Employee retains an amount of the Gross-Up Payment equal
to the Excise Tax imposed upon the Payments.

         (b) Tax Opinion. Subject to the provisions of Section 2.2(c), all
determinations required to be made under this Section 2.2, including whether and
when a Gross-Up Payment is required and the amount of such Gross-Up Payment and
the assumptions to be utilized in arriving at such determination, shall be made
by a nationally recognized accounting firm or law firm selected by the Company
(the "Tax Firm"); provided, however, that the Tax Firm shall not determine that
no Excise Tax is payable by Employee unless it delivers to Employee a written
opinion (the "Tax Opinion") that failure to pay the Excise Tax and to report the
Excise Tax and the payments potentially subject thereto on or with Employee's
applicable federal income tax return will not result in the imposition of an
accuracy-related or other penalty on Employee. All fees and expenses of the Tax
Firm shall be borne solely by the Company. Within 15 business days of the
receipt of notice from Employee that there has been a Payment, or such earlier
time as is requested by the Company, the Tax Firm shall make all determinations
required under this Section, shall provide to the Company and Employee a written
report setting forth such determinations, together with detailed supporting
calculations, and, if the Tax Firm determines that no Excise Tax is payable,
shall deliver the Tax Opinion to Employee. Any Gross-Up Payment, as determined
pursuant to this Section, shall be paid by the Company to Employee within
fifteen days of the receipt of the Tax Firm's determination. Subject to the
remainder of this Section 2.2, any determination by the Tax Firm shall be
binding upon the Company and Employee; provided, however, that Employee shall
only be bound to the extent that the determinations of the Tax Firm hereunder,
including the determinations made in the Tax Opinion, are reasonable and
reasonably supported by applicable law. As a result of the uncertainty in the
application of section 4999 of the Code at the time of the initial determination
by the Tax Firm hereunder, it is possible that Gross-Up Payments which will not
have been made by the Company should have been made ("Underpayment"), consistent
with the calculations required to be made hereunder. In the event that it is
ultimately determined in accordance with the procedures set forth in Section
2.2(c) that Employee is required to make a payment of any Excise Tax, the Tax
Firm shall reasonably determine the amount of the Underpayment that has occurred
and any such Underpayment shall be promptly paid by the Company to or for the
benefit of Employee. In determining the reasonableness of Tax Firm's
determinations hereunder, and the effect thereof, Employee shall be provided a
reasonable opportunity to review such determinations with Tax Firm and
Employee's tax counsel. Tax Firm's determinations hereunder, and the Tax
Opinion, shall not be deemed



                                       4
<PAGE>   5

reasonable until Employee's reasonable objections and comments thereto have been
satisfactorily accommodated by Tax Firm.

         (c) Notice of IRS Claim. Employee shall notify the Company in writing
of any claims by the Internal Revenue Service that, if successful, would require
the payment by the Company of the Gross-Up Payment. Such notification shall be
given as soon as practicable but no later than 30 calendar days after Employee
actually receives notice in writing of such claim and shall apprise the Company
of the nature of such claim and the date on which such claim is requested to be
paid; provided, however, that the failure of Employee to notify the Company of
such claim (or to provide any required information with respect thereto) shall
not affect any rights granted to Employee under this Section 2.2 except to the
extent that the Company is materially prejudiced in the defense of such claim as
a direct result of such failure. Employee shall not pay such claim prior to the
expiration of the 30-day period following the date on which he gives such notice
to the Company (or such shorter period ending on the date that any payment of
taxes with respect to such claim is due). If the Company notifies Employee in
writing prior to the expiration of such period that it desires to contest such
claim, Employee shall do all of the following:

         (1)      give the Company any information reasonably requested by the
                  Company relating to such claim;

         (2)      take such action in connection with contesting such claim as
                  the Company shall reasonably request in writing from time to
                  time, including, without limitation, accepting legal
                  representation with respect to such claim by an attorney
                  selected by the Company and reasonably acceptable to Employee;

         (3)      cooperate with the Company in good faith in order effectively
                  to contest such claim;

         (4)      if the Company elects not to assume and control the defense of
                  such claim, permit the Company to participate in any
                  proceedings relating to such claim;

provided, however, that the Company shall bear and pay directly all costs and
expenses (including additional interest and penalties) incurred in connection
with such contest and shall indemnify and hold Employee harmless, on an
after-tax basis, for any Excise Tax or income tax (including interest and
penalties with respect thereto) imposed as a result of such representation and
payment of costs and expenses. Without limiting the foregoing provisions of this
Section 2.2, the Company shall have the right, at its sole option, to assume the
defense of and control all proceedings in connection with such contest, in which
case it may pursue or forego any and all administrative appeals, proceedings,
hearings and conferences with the taxing authority in respect of such claim and
may either direct Employee to pay the tax claimed and sue for a refund or
contest the claim in any permissible manner, and Employee agrees to prosecute
such contest to a determination before any administrative tribunal, in a court
of initial jurisdiction and in one or more appellate courts, as the Company
shall determine; provided, however, that if the Company directs Employee to pay
such claim and sue for a refund, the Company shall advance the amount of such
payment to Employee, on an interest-free basis and shall indemnify and hold
Employee harmless, on an after-tax basis,



                                       5
<PAGE>   6

from any Excise Tax or income tax (including interest or penalties with respect
thereto) imposed with respect to such advance or with respect to any imputed
income with respect to such advance; and further provided that any extension of
the statute of limitations relating to payment of taxes for the taxable year of
Employee with respect to which such contested amount is claimed to be due is
limited solely to such contested amount. Furthermore, the Company's right to
assume the defense of and control the contest shall be limited to issues with
respect to which a Gross-Up Payment would be payable hereunder and Employee
shall be entitled to settle or contest, as the case may be, any other issue
raised by the Internal Revenue Service or any other taxing authority.

         (d) Right to Tax Refund. If, after the receipt by Employee of an amount
advanced by the Company pursuant to Section 2.2 Employee becomes entitled to
receive any refund with respect to such claim, Employee shall (subject to the
Company's complying with the requirements of Section 2.2(c)) promptly pay to the
Company the amount of such refund (together with any interest paid or credited
thereon after taxes applicable thereto). If, after the receipt by Employee of an
amount advanced by the Company pursuant to Section 2.2(c), a determination is
made that Employee is not entitled to a refund with respect to such claim and
the Company does not notify Employee in writing of its intent to contest such
denial of refund prior to the expiration of 30 days after such determination,
then such advance shall, to the extent of such denial, be forgiven and shall not
be required to be repaid and the amount of forgiven advance shall offset, to the
extent thereof, the amount of Gross-Up Payment required to be paid.

               ARTICLE III. PAYMENT UPON TERMINATION WITHOUT CAUSE

         SECTION 3.1  BENEFITS ON TERMINATION.

         (a) Amount. Subject to the conditions, limitations and adjustments that
are provided for herein, in the absence of a Change in Control, and in the event
Employee's employment is terminated either by the Company without cause or by
the Employee with cause, as described below, Employee shall be entitled to
receive an amount equal to 200% of the Employee's annual base compensation
determined by reference to his base salary in effect at the time of termination.

         (1) By Company Without Cause Termination of employment by the Company
without cause shall occur if the Company provides oral or written notice to
Employee of involuntary termination that is not on account of just cause. For
this purpose, termination for "just cause" will only occur upon written notice
to Employee that employment is involuntarily terminated due to any of the
following:

         (i)      conviction of Employee for a crime involving fraud, dishonesty
                  or theft, or of any felony which, in the reasonable judgment
                  of the Board, materially affects Employee's ability to perform
                  his duties pursuant to this Agreement;

         (ii)     commission by Employee of an act of fraud, embezzlement, or
                  material dishonesty against the Company or its affiliates; or



                                       6
<PAGE>   7

         (iii)    intentional neglect of or material inattention to Employee's
                  duties, which neglect or inattention remains uncorrected for
                  more than 30 days following written notice from the chief
                  executive officer of the Company detailing the Company's
                  concern.

         (2) By Employee With Cause. Termination of employment by Employee with
cause shall occur if Employee terminates employment for any of the following
reasons:

         (i)      A material adverse alteration in Employee's position,
                  responsibilities or status.

         (ii)     A reduction in Employee's base compensation or a substantial
                  reduction in the benefits provided to Employee.

         (iii)    Relocation of Employee by the Company to a location that is
                  more than 35 miles from the Employee's current workplace.

         (iv)     The material breach of the Company of any portion of its
                  employment policies and/or any employment agreement with
                  Employee.

         (b) Adjustments to the Amount of Benefit. Notwithstanding anything
herein to the contrary, the amounts due to Employee under Section 3.1(a) shall
be adjusted in accordance with Section 2.2 of this Agreement if any payment
provided to Employee is determined to be subject to the excise tax described in
section 4999 of the Code.

         (c) Time for Payment; Interest. The cash Benefits payable made under
this Section 3.1 shall be paid to Employee in a single lump sum within ten days
following the date of termination. The Company's obligation to pay to Employee
any amounts under this Section 3.1 will bear interest at the lesser of (i) 10%
or (ii) the maximum rate allowed by law until paid by the Company, and all
accrued and unpaid interest will bear interest at the same rate, all of which
interest will be compounded annually.

         SECTION 3.2  COMPETITION.

                  (a) Agreement Not to Compete. Employee agrees that, for a
period of 24 months after the termination of his employment as described in
Section 3.1(a), he will not:

         (i)      directly or indirectly, own, manage, control, participate in,
                  consult with or render services for (i) any business, the
                  operating facilities of which compete with the operating
                  facilities of the Company or its Subsidiaries within the
                  geographical area included in the 50-mile radius around each
                  location where the Company or any Subsidiary owns, leases,
                  manages or otherwise maintains an operating facility, engages
                  in business or, on the date of Employee's termination, plans
                  to own, lease, manage or otherwise maintain a facility or
                  engage in business, or (ii) any business in which the Company
                  or any of its



                                       7
<PAGE>   8

                  Subsidiaries has entered into a letter of intent or is or has
                  been within one year prior to the date of termination of
                  Employee's employment in active negotiations relating to the
                  acquisition of such business by the Company or its
                  Subsidiaries; or

         (ii)     interfere with, disrupt or attempt to disrupt any present or
                  prospective relationship, contractual or otherwise, between
                  the Company and any customer, supplier or employee of the
                  Company.

                  (b) Remedies. Employee agrees and acknowledges that the
violation by Employee of the agreements contained in this Section 3.2 would
cause irreparable injury to the Company and that the remedy at law for any
violation or threatened violation thereof by him would be inadequate and that
the Company shall be entitled to temporary and permanent injunctive relief or
other equitable relief without the necessity of proving actual damages.

                           ARTICLE IV. ADMINISTRATION

         SECTION 4.1. The provisions of this Agreement are intended to provide
severance benefits and protection to Employee. The Administrator has absolute
discretion to interpret the terms of this Agreement and to make all
determinations required in the administration hereof, including making
determinations about eligibility for and the amounts of Benefits. All decisions
of the Administrator are final, binding and conclusive on all parties.

         SECTION 4.2. Benefits can only be denied or forfeited if Employee does
not satisfy the conditions for receiving payment that are described herein or if
the Company validly amends the Agreement as described in Section 5.4.

         SECTION 4.3. If Employee's claim for Benefits is denied, the
Administrator will furnish written notice of denial to Employee within 90 days
of the date the claim is received, unless special circumstances require an
extension of time for processing the claim. This extension will not exceed 90
days, and Employee must receive written notice stating the grounds for the
extension and the length of the extension within the initial 90-day review
period. If the Administrator does not provide written notice, Employee may deem
the claim denied and seek review according to the appeals procedures set forth
below.

         (a) Notice of Denial. The notice of denial to the Claimant shall state:

         (1)      The specific reasons for the denial.

         (2)      Specific references to pertinent provisions of the Agreement
                  on which the denial was based.

         (3)      A description of any additional material or information needed
                  for Employee to perfect his claim and an explanation of why
                  the material or information is needed.



                                       8
<PAGE>   9

         (4)      A statement that Employee may request a review upon written
                  application to the Administrator, review pertinent documents,
                  and submit issues and comments in writing and that any appeal
                  that Employee wishes to make of the adverse determination must
                  be in writing to the Administrator within 60 days after
                  Employee receives notice of denial of benefits.

         (5)      The name and address of the Administrator to which Employee
                  may forward an appeal. The notice may state that failure to
                  appeal the action to the Administrator in writing within the
                  60-day period will render the determination final, binding and
                  conclusive.

         (b) Appeals Procedure. If Employee appeals to the Administrator,
Employee or his authorized representative may submit in writing whatever issues
and comments he believes to be pertinent. The Administrator shall reexamine all
facts related to the appeal and make a final determination of whether the denial
of benefits is justified under the circumstances. The Administrator shall advise
Employee in writing of:

         (1)      The Administrator's decision on appeal.

         (2)      The specific reasons for the decision.

         (3)      The specific provisions of the Agreement on which the decision
                  is based.

         Notice of the Administrator's decision shall be given within 60 days of
the Claimant's written request for review, unless additional time is required
due to special circumstances. In no event shall the Administrator render a
decision on an appeal later than 120 days after receiving a request for a
review.

                            ARTICLE V. GENERAL TERMS

         SECTION 5.1 NOTICES. All notices and other communications hereunder
will be in writing or by written telecommunication, and will be deemed to have
been duly given if delivered personally or if sent by overnight courier or by
written telecommunication, to the relevant address set forth below, or to such
other address as the recipient of such notice or communication will have
specified to the other party hereto in accordance with this Section:

         If to the Company to:

         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, Tennessee 37027
         Attn:    Howard T. Wall, III,
                  Senior Vice President and General Counsel



                                       9
<PAGE>   10

         If to Employee, to:

         John M. Rutledge
         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, TN  37027

         SECTION 5.2 WITHHOLDING; NO OFFSET. All payments required to be made by
the Company under this Agreement to Employee will be subject to the withholding
of such amounts, if any, relating to federal, state and local taxes as may be
required by law. No payment under this Agreement will be subject to offset or
reduction attributable to any amount Employee may owe to the Company or any
other person, except as required by law.

         SECTION 5.3 ERISA RIGHTS AND INFORMATION. Attached hereto as Appendix A
is a description of certain ERISA rights and other information applicable to
this Agreement.

         SECTION 5.4 ENTIRE AGREEMENT; MODIFICATION. This Agreement and its
attachments constitute the complete and entire agreement between the parties
with respect to the subject matter hereof and supersedes all prior agreements
between the parties. The parties have executed this Agreement based upon the
express terms and provisions set forth herein and have not relied on any
communications or representations, oral or written, which are not set forth in
this Agreement.

         SECTION 5.5 AMENDMENT. This Agreement may not be modified by an
subsequent agreement unless the modifying agreement: (i) is in writing; (ii)
contains an express provision referencing this Agreement; (iii) is signed and
executed on behalf of the Company by an officer of the Company other than
Employee; and (v) is signed by Employee.

         SECTION 5.6 CHOICE OF LAW. This Agreement and the performance hereof
will be construed and governed in accordance with the laws of the State of
Tennessee, without regard to its choice of law principles, except to the extent
that federal law controls or preempts state law.

         SECTION 5.7 SUCCESSORS AND ASSIGNS. The obligations, duties and
responsibilities of Employee under this Agreement are personal and shall not be
assignable. In the event of Employee's death or disability, this Agreement shall
be enforceable by Employee's estate, executors or legal representatives. The
obligations, duties and responsibilities of Company hereunder shall be binding
upon any successor of the Company (whether through a transaction described as a
Change in Control or otherwise).

         SECTION 5.8 WAIVER OF PROVISIONS. Any waiver of any terms and
conditions hereof must be in writing and signed by the parties hereto. The
waiver of any of the terms and conditions of this Agreement shall not be
construed as a waiver of any subsequent breach of the same or any other terms
and conditions hereof.



                                       10
<PAGE>   11

         SECTION 5.9 SEVERABILITY. The provisions of this Agreement and the
amount of Benefits payable hereunder shall be deemed severable, and if any
portion shall be held invalid, illegal or enforceable for any reason, the
remainder of this Agreement and/or Benefit payment shall be effective and
binding upon the parties.

         SECTION 5.10 COUNTERPARTS. This Agreement may be executed in multiple
counterparts, each of which will be deemed an original, and all of which
together will constitute one and the same instrument.




                                       11
<PAGE>   12

         IN WITNESS WHEREOF, Company and Employee have caused this Agreement to
be executed on the day and year indicated below to be effective on the day and
year first written above.


EMPLOYEE:



/s/ John M. Rutledge
- ----------------------------------------          ------------------------------
JOHN M. RUTLEDGE                                              Date


COMPANY:

PROVINCE HEALTHCARE COMPANY



By: /s/ Martin S. Rash
    ------------------------------------          ------------------------------
                                                              Date

Its:
     -----------------------------------


                                       12
<PAGE>   13


                                                                      APPENDIX A

                          ERISA RIGHTS AND INFORMATION

         The parties acknowledge that the following information is provided to
Employee hereunder in connection with Employee's rights as a welfare plan
participant under ERISA. The terms "you" and "yours" refer to Employee.

        As a participant in a welfare plan maintained by the Company, you are
entitled to certain rights and protections under ERISA. ERISA provides that all
plan participants shall be entitled to:

- -        Examine, without charge, at the Administrator's office and at other
         specified locations, all plan documents, including insurance contracts,
         and copies of all documents filed by the plan with the U.S. Department
         of Labor, such as detailed annual reports and plan descriptions.

- -        Obtain copies of all plan documents and other plan information upon
         written request to the Administrator. The Administrator may make a
         reasonable charge for the copies.

- -        Receive a summary of the plan's annual financial report. The
         Administrator is required by law to furnish each participant with a
         copy of this summary annual report.

         In addition to creating rights for plan participants, ERISA imposes
duties upon the people who are responsible for the operation of the employee
benefit plan. The people who operate your plan, called "fiduciaries" of the
plan, have a duty to do so prudently and in the interest of you and other plan
participants and beneficiaries. No one, including the Company or any other
person, may fire you or otherwise discriminate against you in any way to prevent
you from obtaining a benefit under this plan or from exercising your rights
under ERISA.

         If a claim for a Benefit is denied in whole or in part, you must
receive a written explanation of the reason for the denial. You have the right
to have the Administrator review and reconsider your claim.

         Under ERISA, there are steps you can take to enforce the above rights.
For instance, if you request materials from the plan and do not receive them
within 30 days, you may file suit in a federal court. In such a case, the court
may require the Administrator to provide the materials and pay you up to $100 a
day until you receive the materials, unless the materials were not sent because
of reasons beyond the control of the Administrator.

         If you have a claim for benefits that is denied or ignored, in whole or
in part, you may file suit in a state or federal court. If it should happen that
plan fiduciaries misuse the plan's



                                       13
<PAGE>   14

money or if you are discriminated against for asserting your rights, you may
seek assistance from the U.S. Department of Labor or you may file suit in a
federal court. The court will decide who should pay court costs and fees. If you
lose, the court may order you to pay these costs and fees, for example, if it
finds your claim is frivolous.

         If you have any questions about your plan, you should contact the
Administrator. If you have any questions about this statement or about your
rights under ERISA, you should contact the nearest Area Office of the U.S.
Labor-Management Services Administration, Department of Labor.

                          SUMMARY OF ERISA INFORMATION

Name of Plan: Province Healthcare Company Executive Severance Plan

Name and Address of the Company:

         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, Tennessee 37027

Who Pays for the Plan:     The cost of the plan is paid entirely by the Company.

The Company's Employer Identification No.:  62-1710772

Plan Number:  599

Plan Year:  January 1 to December 31

Plan Administrator, Name, Address and Telephone No.:

                  Administrator of the Province Healthcare Company Executive
                  Severance Plan
                  c/o _____________
                  Province Healthcare Company
                  105 Westwood Place, Suite 400
                  Brentwood, Tennessee 37027
                  (615) 370-1377

Agent for Service of Legal Process on the Plan: Chief Executive Officer or
Administrator.

Benefits are paid out of the general assets of the Company. The Company may, in
its discretion establish a "grantor trust" to fund the payment of Benefits.
Otherwise, this plan does not give you any rights to any particular assets of
the Company. Cash amounts paid under a severance plan are generally considered
taxable income to the recipient.



                                       14

<PAGE>   1
                                                                    Exhibit 10.4

                           PROVINCE HEALTHCARE COMPANY
                          EXECUTIVE SEVERANCE AGREEMENT

         THIS EXECUTIVE SEVERANCE AGREEMENT ("Agreement") is entered into as of
this 18th day of October, 1999, by and between Province Healthcare Company (the
"Company") and HOWARD T. WALL, III ("Employee").

                              W I T N E S S E T H:

         WHEREAS, Employee is employed as Senior Vice President, General Counsel
& Secretary of the Company; and

         WHEREAS, the Company desires to provide certain severance payments to
Employee in the event that Employee's employment with the Company is terminated
without cause or in connection with a change in control of the Company;

         NOW, THEREFORE, based upon the premises set forth herein and for other
good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the parties agree as follows:

                             ARTICLE I. DEFINITIONS

         Terms used in this Agreement that are defined are indicated by initial
capitalization of the term. References to an "Article" or a "Section" mean an
article or a section of this Agreement. In addition to those terms that are
specifically defined herein, the following terms are defined for purposes
hereof:

         "Administrator" means a committee consisting of the Company's chief
executive officer, the secretary of the Company, the vice president of human
resources, and any other individuals appointed by the chief executive officer.
The Administrator may delegate any of its duties or authorities to any person or
entity. If a Change in Control occurs, as described in this Agreement, the
Administrator shall be the committee of individuals who were committee members
immediately prior to the Change in Control.

         "Benefit" means the benefits described in Article II and Article III.

         "Change in Control" means a transaction or circumstance in which any of
the following have occurred:

         (a) any "person" as such term is used in sections 13(d) and 14(d) of
the Exchange Act, other than the Company or a wholly-owned Subsidiary thereof or
any employee benefit plan of the Company, becomes the "beneficial owner" (as
defined in Rule 13d-3 under said Act), directly



<PAGE>   2

or indirectly, of securities of the Company representing more than 50% of the
total voting power represented by the Company's then outstanding Voting
Securities (as defined below), or

         (b) during any period of two consecutive years, individuals who at the
beginning of such period constitute the Board and any new director whose
election by the Board or nomination for election by the Company's shareholders
was approved by a vote of at least two-thirds of the directors then still in
office who either were directors at the beginning of the period or whose
election or nomination for election was previously so approved, cease for any
reason to constitute a majority thereof, or

         (c) the shareholders of the Company approve a merger or consolidation
of the Company with any other corporation, other than a merger or consolidation
which would result in the Voting Securities (i.e., any securities of the entity
which vote generally in the election of its directors) of the Company
outstanding immediately prior thereto continuing to represent (either by
remaining outstanding or by being converted into Voting Securities of the
surviving entity) more than 50% of the total voting power represented by the
Voting Securities of the Company or such surviving entity outstanding
immediately after such merger or consolidation, or

         (d) the shareholders of the Company approve a plan of complete
liquidation of the Company or an agreement for the sale or disposition by the
Company of all or substantially all of its assets.

         "Code" means the Internal Revenue Code of 1986, as amended.

         "ERISA" means the Employee Retirement Income Security Act of 1974, as
amended.

         "Subsidiary" means any subsidiary of the Company or of any of its
subsidiaries.

                ARTICLE II. CHANGE IN CONTROL TERMINATION PAYMENT

SECTION 2.1 BENEFITS ON TERMINATION.

         (a) Amount. Subject to the conditions, limitations and adjustments that
are provided for herein, the Company will provide Benefits to Employee equal to
the sum of the amounts described below if, within the 24 month period following
a Change in Control, Employee's employment with the Company terminates for any
reason:

         (1)      An amount equal to 200% of the Employee's annual base
                  compensation determined by reference to his base salary in
                  effect at the time of Change in Control.

         (2)      An amount equal to 200% of the highest annual bonus that
                  Employee would be eligible to receive during the fiscal year
                  ending during which the Change in Control occurs.



                                       2
<PAGE>   3

         (3)      For a period of 24 months, participation in medical, life,
                  disability and similar benefit plans that are offered to
                  similarly situated employees of the Company immediately prior
                  to the applicable Change in Control for the Eligible Employee
                  and his dependents. Such participation may be pursuant to the
                  continuation coverage rights of Eligible Employees pursuant to
                  Part 6 of Title I of ERISA ("COBRA") or the Company may
                  provide such benefits directly through the purchase of
                  insurance or otherwise. Notwithstanding the foregoing, the
                  period for participation in a self-funded medical plan
                  pursuant to this paragraph 3 shall not exceed the maximum
                  period of continuation coverage provided under COBRA. If
                  benefits are provided pursuant to COBRA continuation rights,
                  the Company shall pay a cash amount to the Eligible Employee
                  at the time of severance that is sufficient to cover all
                  premiums required for such COBRA coverage under the
                  appropriate benefit plans.

         (4)      For a period of 24 months, participation in general and
                  executive fringe benefits offered to similarly situated
                  executive employees immediately prior to the applicable Change
                  in Control.

         (5)      Upon the effective date of any Change in Control, any stock
                  purchase options held by Employee pursuant to any qualified or
                  nonqualified Company option plan shall immediately vest and
                  become exercisable. The provisions of this Section 2.1 shall
                  supersede any contrary provisions of any other agreement by
                  and between the parties hereto, now existing or hereafter
                  created, unless the provisions of this Section 2.1 shall be
                  referred to specifically therein and modified, amended or
                  waived by both parties hereto.

         (b) Adjustments to the Amount of Benefit. Notwithstanding anything
herein to the contrary, the amounts due to Employee under Section 2.1(a) shall
be adjusted in accordance with Section 2.2 if any payment provided to Employee
is determined to be subject to the excise tax described in section 4999 of the
Code.

         (c) Time for Payment; Interest. The cash Benefits payable made under
this Section 2.1 shall be paid to Employee in a single lump sum within ten days
following the date of termination. The Company's obligation to pay to Employee
any amounts under this Section 2.1 will bear interest at the lesser of (i) 10%
or (ii) the maximum rate allowed by law until paid by the Company, and all
accrued and unpaid interest will bear interest at the same rate, all of which
interest will be compounded annually.

         2.2 BENEFIT ADJUSTMENTS.

         (a) Gross Up Payment. Anything in this Agreement to the contrary
notwithstanding, in the event it shall be determined that any payment or
distribution by or on behalf of the Company to or for the benefit of Employee as
a result of a "change in control," as defined in section 280G of the



                                       3
<PAGE>   4

Code, whether paid or payable or distributed or distributable pursuant to the
terms of this Agreement or otherwise, but determined without regard to any
additional payments required under this Section, (a "Payment") would be subject
to the excise tax imposed by section 4999 of the Code or any interest or
penalties are incurred by Employee with respect to such excise tax (such excise
tax, together with any such interest and penalties, are hereinafter collectively
referred to as the "Excise Tax"), then Employee shall be entitled to receive an
additional payment (a "Gross-Up Payment") in an amount such that after payment
by Employee of all taxes (including any interest or penalties imposed with
respect to such taxes), including, without limitation, any income taxes (and any
interest and penalties imposed with respect thereto) and Excise Tax imposed upon
the Gross-Up Payment, Employee retains an amount of the Gross-Up Payment equal
to the Excise Tax imposed upon the Payments.

         (b) Tax Opinion. Subject to the provisions of Section 2.2(c), all
determinations required to be made under this Section 2.2, including whether and
when a Gross-Up Payment is required and the amount of such Gross-Up Payment and
the assumptions to be utilized in arriving at such determination, shall be made
by a nationally recognized accounting firm or law firm selected by the Company
(the "Tax Firm"); provided, however, that the Tax Firm shall not determine that
no Excise Tax is payable by Employee unless it delivers to Employee a written
opinion (the "Tax Opinion") that failure to pay the Excise Tax and to report the
Excise Tax and the payments potentially subject thereto on or with Employee's
applicable federal income tax return will not result in the imposition of an
accuracy-related or other penalty on Employee. All fees and expenses of the Tax
Firm shall be borne solely by the Company. Within 15 business days of the
receipt of notice from Employee that there has been a Payment, or such earlier
time as is requested by the Company, the Tax Firm shall make all determinations
required under this Section, shall provide to the Company and Employee a written
report setting forth such determinations, together with detailed supporting
calculations, and, if the Tax Firm determines that no Excise Tax is payable,
shall deliver the Tax Opinion to Employee. Any Gross-Up Payment, as determined
pursuant to this Section, shall be paid by the Company to Employee within
fifteen days of the receipt of the Tax Firm's determination. Subject to the
remainder of this Section 2.2, any determination by the Tax Firm shall be
binding upon the Company and Employee; provided, however, that Employee shall
only be bound to the extent that the determinations of the Tax Firm hereunder,
including the determinations made in the Tax Opinion, are reasonable and
reasonably supported by applicable law. As a result of the uncertainty in the
application of section 4999 of the Code at the time of the initial determination
by the Tax Firm hereunder, it is possible that Gross-Up Payments which will not
have been made by the Company should have been made ("Underpayment"), consistent
with the calculations required to be made hereunder. In the event that it is
ultimately determined in accordance with the procedures set forth in Section
2.2(c) that Employee is required to make a payment of any Excise Tax, the Tax
Firm shall reasonably determine the amount of the Underpayment that has occurred
and any such Underpayment shall be promptly paid by the Company to or for the
benefit of Employee. In determining the reasonableness of Tax Firm's
determinations hereunder, and the effect thereof, Employee shall be provided a
reasonable opportunity to review such determinations with Tax Firm and
Employee's tax counsel. Tax Firm's determinations hereunder, and the Tax
Opinion, shall not be deemed




                                       4
<PAGE>   5

reasonable until Employee's reasonable objections and comments thereto have been
satisfactorily accommodated by Tax Firm.

         (c) Notice of IRS Claim. Employee shall notify the Company in writing
of any claims by the Internal Revenue Service that, if successful, would require
the payment by the Company of the Gross-Up Payment. Such notification shall be
given as soon as practicable but no later than 30 calendar days after Employee
actually receives notice in writing of such claim and shall apprise the Company
of the nature of such claim and the date on which such claim is requested to be
paid; provided, however, that the failure of Employee to notify the Company of
such claim (or to provide any required information with respect thereto) shall
not affect any rights granted to Employee under this Section 2.2 except to the
extent that the Company is materially prejudiced in the defense of such claim as
a direct result of such failure. Employee shall not pay such claim prior to the
expiration of the 30-day period following the date on which he gives such notice
to the Company (or such shorter period ending on the date that any payment of
taxes with respect to such claim is due). If the Company notifies Employee in
writing prior to the expiration of such period that it desires to contest such
claim, Employee shall do all of the following:

         (1)      give the Company any information reasonably requested by the
                  Company relating to such claim;

         (2)      take such action in connection with contesting such claim as
                  the Company shall reasonably request in writing from time to
                  time, including, without limitation, accepting legal
                  representation with respect to such claim by an attorney
                  selected by the Company and reasonably acceptable to Employee;

         (3)      cooperate with the Company in good faith in order effectively
                  to contest such claim;

         (4)      if the Company elects not to assume and control the defense of
                  such claim, permit the Company to participate in any
                  proceedings relating to such claim;

provided, however, that the Company shall bear and pay directly all costs and
expenses (including additional interest and penalties) incurred in connection
with such contest and shall indemnify and hold Employee harmless, on an
after-tax basis, for any Excise Tax or income tax (including interest and
penalties with respect thereto) imposed as a result of such representation and
payment of costs and expenses. Without limiting the foregoing provisions of this
Section 2.2, the Company shall have the right, at its sole option, to assume the
defense of and control all proceedings in connection with such contest, in which
case it may pursue or forego any and all administrative appeals, proceedings,
hearings and conferences with the taxing authority in respect of such claim and
may either direct Employee to pay the tax claimed and sue for a refund or
contest the claim in any permissible manner, and Employee agrees to prosecute
such contest to a determination before any administrative tribunal, in a court
of initial jurisdiction and in one or more appellate courts, as the Company
shall determine; provided, however, that if the Company directs Employee to pay
such claim and sue for a refund, the Company shall advance the amount of such
payment to Employee, on an interest-free basis and shall indemnify and hold
Employee harmless, on an after-tax basis,



                                       5
<PAGE>   6

from any Excise Tax or income tax (including interest or penalties with respect
thereto) imposed with respect to such advance or with respect to any imputed
income with respect to such advance; and further provided that any extension of
the statute of limitations relating to payment of taxes for the taxable year of
Employee with respect to which such contested amount is claimed to be due is
limited solely to such contested amount. Furthermore, the Company's right to
assume the defense of and control the contest shall be limited to issues with
respect to which a Gross-Up Payment would be payable hereunder and Employee
shall be entitled to settle or contest, as the case may be, any other issue
raised by the Internal Revenue Service or any other taxing authority.

         (d) Right to Tax Refund. If, after the receipt by Employee of an amount
advanced by the Company pursuant to Section 2.2 Employee becomes entitled to
receive any refund with respect to such claim, Employee shall (subject to the
Company's complying with the requirements of Section 2.2(c)) promptly pay to the
Company the amount of such refund (together with any interest paid or credited
thereon after taxes applicable thereto). If, after the receipt by Employee of an
amount advanced by the Company pursuant to Section 2.2(c), a determination is
made that Employee is not entitled to a refund with respect to such claim and
the Company does not notify Employee in writing of its intent to contest such
denial of refund prior to the expiration of 30 days after such determination,
then such advance shall, to the extent of such denial, be forgiven and shall not
be required to be repaid and the amount of forgiven advance shall offset, to the
extent thereof, the amount of Gross-Up Payment required to be paid.

               ARTICLE III. PAYMENT UPON TERMINATION WITHOUT CAUSE

         SECTION 3.1  BENEFITS ON TERMINATION.

         (a) Amount. Subject to the conditions, limitations and adjustments that
are provided for herein, in the absence of a Change in Control, and in the event
Employee's employment is terminated either by the Company without cause or by
the Employee with cause, as described below, Employee shall be entitled to
receive an amount equal to 200% of the Employee's annual base compensation
determined by reference to his base salary in effect at the time of termination.

         (1) By Company Without Cause Termination of employment by the Company
without cause shall occur if the Company provides oral or written notice to
Employee of involuntary termination that is not on account of just cause. For
this purpose, termination for "just cause" will only occur upon written notice
to Employee that employment is involuntarily terminated due to any of the
following:

         (i)      conviction of Employee for a crime involving fraud, dishonesty
                  or theft, or of any felony which, in the reasonable judgment
                  of the Board, materially affects Employee's ability to perform
                  his duties pursuant to this Agreement;

         (ii)     commission by Employee of an act of fraud, embezzlement, or
                  material dishonesty against the Company or its affiliates; or



                                       6
<PAGE>   7

         (iii)    intentional neglect of or material inattention to Employee's
                  duties, which neglect or inattention remains uncorrected for
                  more than 30 days following written notice from the chief
                  executive officer of the Company detailing the Company's
                  concern.

         (2) By Employee With Cause. Termination of employment by Employee with
cause shall occur if Employee terminates employment for any of the following
reasons:

         (i)      A material adverse alteration in Employee's position,
                  responsibilities or status.

         (ii)     A reduction in Employee's base compensation or a substantial
                  reduction in the benefits provided to Employee.

         (iii)    Relocation of Employee by the Company to a location that is
                  more than 35 miles from the Employee's current workplace.

         (iv)     The material breach of the Company of any portion of its
                  employment policies and/or any employment agreement with
                  Employee.

         (b) Adjustments to the Amount of Benefit. Notwithstanding anything
herein to the contrary, the amounts due to Employee under Section 3.1(a) shall
be adjusted in accordance with Section 2.2 of this Agreement if any payment
provided to Employee is determined to be subject to the excise tax described in
section 4999 of the Code.

         (c) Time for Payment; Interest. The cash Benefits payable made under
this Section 3.1 shall be paid to Employee in a single lump sum within ten days
following the date of termination. The Company's obligation to pay to Employee
any amounts under this Section 3.1 will bear interest at the lesser of (i) 10%
or (ii) the maximum rate allowed by law until paid by the Company, and all
accrued and unpaid interest will bear interest at the same rate, all of which
interest will be compounded annually.

         SECTION 3.2  COMPETITION.

                  (a) Agreement Not to Compete. Employee agrees that, for a
period of 24 months after the termination of his employment as described in
Section 3.1(a), he will not:

         (i)      directly or indirectly, own, manage, control, participate in,
                  consult with or render services for (i) any business, the
                  operating facilities of which compete with the operating
                  facilities of the Company or its Subsidiaries within the
                  geographical area included in the 50-mile radius around each
                  location where the Company or any Subsidiary owns, leases,
                  manages or otherwise maintains an operating facility, engages
                  in business or, on the date of Employee's termination, plans
                  to own, lease, manage or otherwise maintain a facility or
                  engage in business, or (ii) any business in which the Company
                  or any of its



                                       7
<PAGE>   8

                  Subsidiaries has entered into a letter of intent or is or has
                  been within one year prior to the date of termination of
                  Employee's employment in active negotiations relating to the
                  acquisition of such business by the Company or its
                  Subsidiaries; or

         (ii)     interfere with, disrupt or attempt to disrupt any present or
                  prospective relationship, contractual or otherwise, between
                  the Company and any customer, supplier or employee of the
                  Company.

                  (b) Remedies. Employee agrees and acknowledges that the
violation by Employee of the agreements contained in this Section 3.2 would
cause irreparable injury to the Company and that the remedy at law for any
violation or threatened violation thereof by him would be inadequate and that
the Company shall be entitled to temporary and permanent injunctive relief or
other equitable relief without the necessity of proving actual damages.

                           ARTICLE IV. ADMINISTRATION

         SECTION 4.1. The provisions of this Agreement are intended to provide
severance benefits and protection to Employee. The Administrator has absolute
discretion to interpret the terms of this Agreement and to make all
determinations required in the administration hereof, including making
determinations about eligibility for and the amounts of Benefits. All decisions
of the Administrator are final, binding and conclusive on all parties.

         SECTION 4.2. Benefits can only be denied or forfeited if Employee does
not satisfy the conditions for receiving payment that are described herein or if
the Company validly amends the Agreement as described in Section 5.4.

         SECTION 4.3. If Employee's claim for Benefits is denied, the
Administrator will furnish written notice of denial to Employee within 90 days
of the date the claim is received, unless special circumstances require an
extension of time for processing the claim. This extension will not exceed 90
days, and Employee must receive written notice stating the grounds for the
extension and the length of the extension within the initial 90-day review
period. If the Administrator does not provide written notice, Employee may deem
the claim denied and seek review according to the appeals procedures set forth
below.

         (a) Notice of Denial. The notice of denial to the Claimant shall state:

         (1)      The specific reasons for the denial.

         (2)      Specific references to pertinent provisions of the Agreement
                  on which the denial was based.

         (3)      A description of any additional material or information needed
                  for Employee to perfect his claim and an explanation of why
                  the material or information is needed.



                                       8
<PAGE>   9

         (4)      A statement that Employee may request a review upon written
                  application to the Administrator, review pertinent documents,
                  and submit issues and comments in writing and that any appeal
                  that Employee wishes to make of the adverse determination must
                  be in writing to the Administrator within 60 days after
                  Employee receives notice of denial of benefits.

         (5)      The name and address of the Administrator to which Employee
                  may forward an appeal. The notice may state that failure to
                  appeal the action to the Administrator in writing within the
                  60-day period will render the determination final, binding and
                  conclusive.

         (b) Appeals Procedure. If Employee appeals to the Administrator,
Employee or his authorized representative may submit in writing whatever issues
and comments he believes to be pertinent. The Administrator shall reexamine all
facts related to the appeal and make a final determination of whether the denial
of benefits is justified under the circumstances. The Administrator shall advise
Employee in writing of:

         (1)      The Administrator's decision on appeal.

         (2)      The specific reasons for the decision.

         (3)      The specific provisions of the Agreement on which the decision
                  is based.

         Notice of the Administrator's decision shall be given within 60 days of
the Claimant's written request for review, unless additional time is required
due to special circumstances. In no event shall the Administrator render a
decision on an appeal later than 120 days after receiving a request for a
review.

                            ARTICLE V. GENERAL TERMS

         SECTION 5.1 NOTICES. All notices and other communications hereunder
will be in writing or by written telecommunication, and will be deemed to have
been duly given if delivered personally or if sent by overnight courier or by
written telecommunication, to the relevant address set forth below, or to such
other address as the recipient of such notice or communication will have
specified to the other party hereto in accordance with this Section:

         If to the Company to:

         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, Tennessee 37027
         Attn:    Howard T. Wall, III,
                  Senior Vice President and General Counsel



                                       9
<PAGE>   10

         If to Employee, to:

         Howard T. Wall, III
         rovince Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, TN  37027

         SECTION 5.2 WITHHOLDING; NO OFFSET. All payments required to be made by
the Company under this Agreement to Employee will be subject to the withholding
of such amounts, if any, relating to federal, state and local taxes as may be
required by law. No payment under this Agreement will be subject to offset or
reduction attributable to any amount Employee may owe to the Company or any
other person, except as required by law.

         SECTION 5.3 ERISA RIGHTS AND INFORMATION. Attached hereto as Appendix A
is a description of certain ERISA rights and other information applicable to
this Agreement.

         SECTION 5.4 ENTIRE AGREEMENT; MODIFICATION. This Agreement and its
attachments constitute the complete and entire agreement between the parties
with respect to the subject matter hereof and supersedes all prior agreements
between the parties. The parties have executed this Agreement based upon the
express terms and provisions set forth herein and have not relied on any
communications or representations, oral or written, which are not set forth in
this Agreement.

         SECTION 5.5 AMENDMENT. This Agreement may not be modified by an
subsequent agreement unless the modifying agreement: (i) is in writing; (ii)
contains an express provision referencing this Agreement; (iii) is signed and
executed on behalf of the Company by an officer of the Company other than
Employee; and (v) is signed by Employee.

         SECTION 5.6 CHOICE OF LAW. This Agreement and the performance hereof
will be construed and governed in accordance with the laws of the State of
Tennessee, without regard to its choice of law principles, except to the extent
that federal law controls or preempts state law.

         SECTION 5.7 SUCCESSORS AND ASSIGNS. The obligations, duties and
responsibilities of Employee under this Agreement are personal and shall not be
assignable. In the event of Employee's death or disability, this Agreement shall
be enforceable by Employee's estate, executors or legal representatives. The
obligations, duties and responsibilities of Company hereunder shall be binding
upon any successor of the Company (whether through a transaction described as a
Change in Control or otherwise).

         SECTION 5.8 WAIVER OF PROVISIONS. Any waiver of any terms and
conditions hereof must be in writing and signed by the parties hereto. The
waiver of any of the terms and conditions of this Agreement shall not be
construed as a waiver of any subsequent breach of the same or any other terms
and conditions hereof.



                                       10
<PAGE>   11

         SECTION 5.9 SEVERABILITY. The provisions of this Agreement and the
amount of Benefits payable hereunder shall be deemed severable, and if any
portion shall be held invalid, illegal or enforceable for any reason, the
remainder of this Agreement and/or Benefit payment shall be effective and
binding upon the parties.

         SECTION 5.10 COUNTERPARTS. This Agreement may be executed in multiple
counterparts, each of which will be deemed an original, and all of which
together will constitute one and the same instrument.




                                       11
<PAGE>   12

         IN WITNESS WHEREOF, Company and Employee have caused this Agreement to
be executed on the day and year indicated below to be effective on the day and
year first written above.


EMPLOYEE:



/s/ Howard T. Wall                                             1/24/00
- --------------------------------------------            ------------------------
HOWARD T. WALL, III                                              Date


COMPANY:

PROVINCE HEALTHCARE COMPANY



By: /s/ Martin S. Rash
    ----------------------------------------            ------------------------
                                                                  Date

Its:
     ---------------------------------------



                                       12
<PAGE>   13
                                                                      APPENDIX A


                          ERISA RIGHTS AND INFORMATION

         The parties acknowledge that the following information is provided to
Employee hereunder in connection with Employee's rights as a welfare plan
participant under ERISA. The terms "you" and "yours" refer to Employee.

         As a participant in a welfare plan maintained by the Company, you are
entitled to certain rights and protections under ERISA. ERISA provides that all
plan participants shall be entitled to:

- -        Examine, without charge, at the Administrator's office and at other
         specified locations, all plan documents, including insurance contracts,
         and copies of all documents filed by the plan with the U.S. Department
         of Labor, such as detailed annual reports and plan descriptions.

- -        Obtain copies of all plan documents and other plan information upon
         written request to the Administrator. The Administrator may make a
         reasonable charge for the copies.

- -        Receive a summary of the plan's annual financial report. The
         Administrator is required by law to furnish each participant with a
         copy of this summary annual report.

         In addition to creating rights for plan participants, ERISA imposes
duties upon the people who are responsible for the operation of the employee
benefit plan. The people who operate your plan, called "fiduciaries" of the
plan, have a duty to do so prudently and in the interest of you and other plan
participants and beneficiaries. No one, including the Company or any other
person, may fire you or otherwise discriminate against you in any way to prevent
you from obtaining a benefit under this plan or from exercising your rights
under ERISA.

         If a claim for a Benefit is denied in whole or in part, you must
receive a written explanation of the reason for the denial. You have the right
to have the Administrator review and reconsider your claim.

         Under ERISA, there are steps you can take to enforce the above rights.
For instance, if you request materials from the plan and do not receive them
within 30 days, you may file suit in a federal court. In such a case, the court
may require the Administrator to provide the materials and pay you up to $100 a
day until you receive the materials, unless the materials were not sent because
of reasons beyond the control of the Administrator.

         If you have a claim for benefits that is denied or ignored, in whole or
in part, you may file suit in a state or federal court. If it should happen that
plan fiduciaries misuse the plan's



                                       13
<PAGE>   14
money or if you are discriminated against for asserting your rights, you may
seek assistance from the U.S. Department of Labor or you may file suit in a
federal court. The court will decide who should pay court costs and fees. If you
lose, the court may order you to pay these costs and fees, for example, if it
finds your claim is frivolous.

         If you have any questions about your plan, you should contact the
Administrator. If you have any questions about this statement or about your
rights under ERISA, you should contact the nearest Area Office of the U.S.
Labor-Management Services Administration, Department of Labor.

                          SUMMARY OF ERISA INFORMATION

Name of Plan: Province Healthcare Company Executive Severance Plan

Name and Address of the Company:

         Province Healthcare Company
         105 Westwood Place, Suite 400
         Brentwood, Tennessee 37027

Who Pays for the Plan: The cost of the plan is paid entirely by the Company.

The Company's Employer Identification No.:  62-1710772

Plan Number:  599

Plan Year:  January 1 to December 31

Plan Administrator, Name, Address and Telephone No.:

                  Administrator of the Province Healthcare Company Executive
                  Severance Plan
                  c/o _____________
                  Province Healthcare Company
                  105 Westwood Place, Suite 400
                  Brentwood, Tennessee 37027
                  (615) 370-1377

Agent for Service of Legal Process on the Plan: Chief Executive Officer or
Administrator.

Benefits are paid out of the general assets of the Company. The Company may, in
its discretion establish a "grantor trust" to fund the payment of Benefits.
Otherwise, this plan does not give you any rights to any particular assets of
the Company. Cash amounts paid under a severance plan are generally considered
taxable income to the recipient.





                                       14

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<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM CONDENSED
CONSOLIDATED BALANCE SHEET AND CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<MULTIPLIER> 1,000

<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-2000
<PERIOD-START>                             JAN-01-2000
<PERIOD-END>                               MAR-31-2000
<CASH>                                           2,624
<SECURITIES>                                         0
<RECEIVABLES>                                  105,850
<ALLOWANCES>                                    14,048
<INVENTORY>                                      9,653
<CURRENT-ASSETS>                               115,342
<PP&E>                                         220,412
<DEPRECIATION>                                  31,465
<TOTAL-ASSETS>                                 518,934
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                                0
                                          0
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<TOTAL-LIABILITY-AND-EQUITY>                   518,934
<SALES>                                        108,260
<TOTAL-REVENUES>                               109,102
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<OTHER-EXPENSES>                                86,732
<LOSS-PROVISION>                                 8,069
<INTEREST-EXPENSE>                               5,212
<INCOME-PRETAX>                                  9,089
<INCOME-TAX>                                     3,863
<INCOME-CONTINUING>                              5,226
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<NET-INCOME>                                     5,226
<EPS-BASIC>                                       0.33
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